DR. TIMOTHY MICHAEL BODILY (NPI# 1790138972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790138972 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY MICHAEL BODILY |
| Credential | D.C. |
| Practice Address |
2524 Burnsed Blvd The Villages FL 32163-2704 |
| Mailing Address |
6166 W Gulf To Lake Hwy Crystal River FL 34429-7558 |
| Practice Telephone | 3527506325 |
| Practice Fax Number | 3523995741 |
| Mailing Telephone | 3527958911 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 11843 | FL | Chiropractic Providers |
| Street Address |
2524 BURNSED BLVD |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32163-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164958773 | Peepers Eyecare Inc | Technician/Technologist | 2478 Burnsed Blvd #466a, The Villages, FL 32163 | 2017-05-03 |
| 1710334800 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 695 Kristine Way, The Villages, FL 32163 | 2016-05-18 |
| 1396168571 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2500 Burnsed Blvd, The Villages, FL 32163 | 2014-01-24 |
| 1023246527 | Charles F Knapp IIi | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2009-06-24 |
| 1508986035 | Robert Alan Harrison | Physical Therapist | 340 Heald Way Ste 100, The Villages, FL 32163 | 2007-03-29 |
| 1659318418 | Sue Allen Schueler | Nurse Practitioner | 2485 Pinellas Place, The Villages, FL 32163 | 2006-06-01 |
| 1740283761 | Thomas M Krizmanich | Orthopaedic Surgery | 2910 Brownwood Blvd., The Villages, FL 32163 | 2005-05-23 |
| 1891319422 | Dermatology Institute and Skin Cancer Center LLC | Dermatology | 2783 Brownwood Blvd, The Villages, FL 32163 | 2020-05-29 |
| 1336793561 | Tanya R Brown | Nurse Practitioner | 2485 Pinellas Pl, The Villages, FL 32163 | 2019-07-25 |
| 1033762588 | St Luke's At The Villages Brownwood Pa | Ophthalmology | 2955 Brownwood Blvd, The Villages, FL 32163 | 2019-07-23 |
| Find all providers in zip 32163 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512219 | Villages Healthcare Services, LLC | Chiropractor | 1585 Santa Barbara Blvd Ste A, The Villages, FL 32159-6820 | 2019-08-08 |
| 1306328240 | Integrative Physical Medicine of The Villages, LLC | Chiropractor | 1501 N Us Highway 441 Ste 1001, The Villages, FL 32159-8999 | 2018-09-06 |
| 1184032195 | Christopher Kessler | Chiropractor | 1950 Laurel Manor Dr Ste 204, The Villages, FL 32162-5608 | 2014-07-23 |
| 1619399458 | Yomari Lynn Rodriguez | Chiropractor | 3464 Habersham Ct, The Villages, FL 32163-6325 | 2014-01-14 |
| 1366733370 | Mulberry Chiropractic | Chiropractor | 8728 Se 165th Mulberry Ln, The Villages, FL 32162-5861 | 2011-04-25 |
| 1437307055 | Mary Ann Zawada | Chiropractor | 3614 Wedgewood Ln, The Villages, FL 32162-9318 | 2008-09-08 |
| 1699898361 | Brenda Vagenheim Barnes | Chiropractor | 2115 Kaylee Dr, The Villages, FL 32162-3379 | 2007-04-09 |
| 1790848703 | Brett Cecil Compton | Chiropractor | 11974 County Road 101 Ste 101, The Villages, FL 32162-9339 | 2006-12-19 |
| 1831251149 | Michelle M Zielecki Pa | Chiropractor | 3465 Wedgewood Ln, The Villages, FL 32162-7183 | 2006-12-14 |
| 1508937988 | Robert J Arsenault Jr. | Chiropractor | 369 Colony Blvd, The Villages, FL 32162-6083 | 2006-11-10 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32163 |
Please comment or provide details below to improve the information on DR. TIMOTHY MICHAEL BODILY.
| 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.