Dan Robert Bodison Jr.
MD | Pediatrics | Male
Dan Robert Bodison Jr., MD is a Columbia, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dan Robert Bodison Jr. is
4605 Monticello Rd, Eau Claire Cooperative Health Center, Columbia, South Carolina - 29203-4156. He can be contacted on phone at
803-252-7001 and fax number 803-252-5219.
Dan Robert Bodison Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dan Robert Bodison Jr. is
1215937610 which was assigned by NPPES on 28 Jul, 2005 and it was last updated on 03 Jun, 2011.
Dan Robert Bodison Jr. license number is
19113 for Pediatrics (208000000X) in South Carolina.
Dan Robert Bodison Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dan Robert Bodison Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dan Robert Bodison Jr. |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dan Robert Bodison Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4605 Monticello Rd, Eau Claire Cooperative Health Center
Columbia, SC, 29203-4156
United States |
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| Phone Number : | 803-252-7001 |
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| Fax Number : | 803-252-5219 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215937610 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jul, 2005 |
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| Last Updated On : | 03 Jun, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dan Robert Bodison Jr. are as mentioned. Primary taxonomy code for Dan Robert Bodison Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 19113 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dan Robert Bodison Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 119134 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4605 Monticello Rd, Eau Claire Cooperative Health Center
Columbia, SC, 29203-4156
United States |
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| Phone Number : | 803-252-7001 |
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| Fax Number : | 803-252-5219 |
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Business Location:
Patients can refer following map for directions to
Dan Robert Bodison Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.