BRYCEN D. BODELL M.D. – NPI #1598178352
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

BRYCEN BODELL is a radiologist located in MILWAUKEE, WI. NPPES has assigned the NPI number 1598178352 to BRYCEN BODELL on June 09, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name BRYCE BODELL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 4 years ago on Oct 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRYCEN BODELL below.

NPI Profile for
BRYCEN D. BODELL

NPI Number
1598178352
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRYCEN D. BODELL
Other Name: BRYCE BODELL
Credentials
M.D.
Primary location
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone: (414) 955-4575 Fax: (414) 955-6409
1 Other location(s):
925 E McDowell Rd Fl 2
Phoenix, AZ 85006-2502
Phone: (602) 839-3339
Fax: (602) 839-3300
Mailing address
925 E MCDOWELL RD FL 2
PHOENIX, AZ 85006-2502
Phone: (602) 839-3339 Fax: (602) 839-3300
Sole Proprietor
No
Updated
Certification Date
Oct 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)		 WI 67931
390200000X
- Student in an Organized Health Care Education/Training Program		 CO TL.000865
208600000X
- Surgery		 AZ R74636
2085R0202X
- Radiology / Diagnostic Radiology		 WI 67931-20

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BRYCEN BODELL is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS
      1506 S ONEIDA ST
      APPLETON, WI 54915
    • ST. AGNES HOSPITAL HOSPICE
      430 E DIVISION ST
      FOND DU LAC, WI 54935
    • THEDACARE MEDICAL CENTER - NEW LONDON
      1405 MILL ST
      NEW LONDON, WI 54961
    • THEDACARE REGIONAL MED CTR - NEENAH
      130 2ND ST
      NEENAH, WI 54956
    • WAUPUN MEMORIAL HOSPITAL
      620 W BROWN ST
      WAUPUN, WI 53963

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