BODRIE J JENSEN


Address: 50 N Perry St, Pontiac, MI 48342-2217
Phone: 2483385392

BODRIE J JENSEN (NPI# 1053936617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053936617
Entity Type Individual
Full Name BODRIE J JENSEN
Credential DO
Practice Address 50 N Perry St
Pontiac
MI 48342-2217
Practice Telephone 2483385392
Mailing Telephone 2483385392
Enumeration Date 2020-06-10
Last Update Date 2020-06-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program MI Student, Health Care

Office Location

Street Address 50 N PERRY ST
City PONTIAC
State MI
Zip Code 48342-2217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003890856 Matthew Swayze Emergency Medicine 50 N Perry St, Pontiac, MI 48342-2217 2005-12-05
1962000539 Belinda Becker Nurse Practitioner 50 N Perry St, Pontiac, MI 48342-2217 2020-10-15
1336765486 Mikita Patel Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-24
1306461264 Brandon Knight Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-16
1295350122 Stephanie Schwartz Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-16
1437774833 Cailyn D'haem Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-11
1790300358 Sara F Iqbal Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-10
1033734694 Neal R Krentz Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-10
1154946713 Gurkirat Jawanda Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-10
1063037570 Gustavo Martinez Briceno Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528589561 Beloved Home Care LLC. Home Health 12 S Mill. St., Apt.314, Pontiac, MI 48342 2017-06-29
1518496942 Boris Tkach Student in an Organized Health Care Education/Training Program 50 N. Perry, Pontiac, MI 48342 2017-06-08
1023547429 Nicholas James Stepanski Student in an Organized Health Care Education/Training Program 50 N. Perry St., Pontiac, MI 48342 2017-06-08
1245769991 Mecca House Corporation Assisted Living Facility 53 West Huron, Pontiac, MI 48342 2017-06-07
1134672868 Shannon Blaine Technician, Other 103 Parkhurst Street, Pontiac, MI 48342 2016-07-29
1669819249 Bonnie Ann Smith Occupational Therapist 60 Parkhurst Dr., Pontiac, MI 48342 2013-05-23
1205123361 Mary Ellen Kenworthy Emergency Medicine 50 North Perry Street, Pontiac, MI 48342 2011-07-08
1740516343 Nathima Habib Atchoo Obstetrics & Gynecology 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 2009-11-02
1881824233 Sylvia Lyn Thompson Physical Therapist 900 Auburn Road, Pontiac, MI 48342 2009-07-20
1114154150 Kyannah Toyann Anderson Home Health 175 S.edith St, Pontiac, MI 48342 2009-06-17
Find all providers in zip 48342

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013534999 Siddharth Chopra Student in an Organized Health Care Education/Training Program 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 2020-06-26
1245856145 Sarah Fatima Student in an Organized Health Care Education/Training Program St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 2020-06-17
1639793581 Yash Kirankumar Varma Student in an Organized Health Care Education/Training Program 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 2020-06-05
1326661687 Fnu Kavita Student in an Organized Health Care Education/Training Program C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 2020-05-21
1245850064 Alexandra Lenox Student in an Organized Health Care Education/Training Program 44405 Woodward Ave Dept H-90, Pontiac, MI 48341-5023 2020-04-22
1568081800 Jean-yves Reshad Nazroo Student in an Organized Health Care Education/Training Program 44405 Woodward Ave, Medical Education H-23, Pontiac, MI 48341-2985 2020-04-15
1619530060 Priyadarshini Dixit Student in an Organized Health Care Education/Training Program 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 2019-04-20
1891358370 Anil Gurpersaud Student in an Organized Health Care Education/Training Program 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 2019-04-19
1831682269 Swathi Muthyam Mogulla Student in an Organized Health Care Education/Training Program St Joseph Mercy Oakland, 44405 Woodward Avenue, Pontiac, MI 48361 2018-06-11
1518496942 Boris Tkach Student in an Organized Health Care Education/Training Program 50 N. Perry, Pontiac, MI 48342 2017-06-08
Find all providers in PONTIAC

Competitor

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City PONTIAC
Zip Code 48342

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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