DR. KEVIN KEITH BODLING (NPI# 1992087209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992087209 |
| Entity Type | Individual |
| Full Name | DR. KEVIN KEITH BODLING |
| Credential | D.C. |
| Practice Address |
1 Titus Rd Suite 2 Washington Depot CT 06794-1516 |
| Mailing Address |
Po Box 337 Washington Depot CT 06794-0337 |
| Practice Telephone | 8888522723 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
1798 | CT | Chiropractic Providers |
| Street Address |
1 TITUS RD SUITE 2 |
| City | WASHINGTON DEPOT |
| State | CT |
| Zip Code | 06794-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740687441 | Doctors Choice Professional Laboratory & Diagnostic Services, Inc. | Chiropractor | 1 Titus Rd, Washington Depot, CT 06794-1516 | 2014-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780963603 | Washington Health Center & Pharmacy LLC | Pharmacy | 5 Bryan Hall Plaza, Washington Depot, CT 06794 | 2011-08-09 |
| 1932310729 | Washington Depot Family Dentistry, LLC | Dentist | 70 Bee Brook Rd, Washington Depot, CT 06794 | 2007-05-24 |
| 1912958216 | Washington Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 5 Green Hill Road, Washington Depot, CT 06794 | 2006-05-12 |
| 1437374014 | Jerzy Emil Henisz | Psychologist | 52 West Church Hill Rd, Washington Depot, CT 06794-0414 | 2007-04-17 |
| 1740619790 | Craig Gerald Schoon | Psychologist | 8 Hifield Dr, Washington Depot, CT 06794-1114 | 2013-11-09 |
| 1841217759 | Allan Herbert Grunberg | Anesthesiology | 40 Hifield Dr, Washington Depot, CT 06794-1114 | 2006-07-16 |
| 1730234022 | Carol Ann Otoole | Acupuncturist | 46 Kielwasser Rd, Washington Depot, CT 06794-1120 | 2007-01-24 |
| 1376853499 | Katherine Louise Merrill | Social Worker | 10 Brinsmaid Rd, Washington Depot, CT 06794-1200 | 2010-10-08 |
| 1376928531 | Chelsea Searles | Specialist/Technologist | 201 Romford Rd, Washington Depot, CT 06794-1300 | 2015-07-29 |
| 1225321557 | Judith Gorra | Marriage & Family Therapist | 12 Winston Dr, Washington Depot, CT 06794-1418 | 2011-05-19 |
| Find all providers in zip 06794 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740687441 | Doctors Choice Professional Laboratory & Diagnostic Services, Inc. | Chiropractor | 1 Titus Rd, Washington Depot, CT 06794-1516 | 2014-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811289085 | David Wickes | Chiropractor | 453 Fisher Ct, Shelton, CT 06484-2836 | 2011-05-06 |
| 1609172832 | Michael James Distler | Chiropractor | 34 Wagon Wheel Rd, Redding, CT 06896-1619 | 2011-02-05 |
| 1598892069 | Thomas Dale Worden | Chiropractor | 41 Kenosia Ave Ste 101, Danbury, CT 06810-7360 | 2007-02-28 |
| 1649337452 | Edward Corsello | Chiropractor | 3333 Main St, Stratford, CT 06614-4861 | 2007-01-02 |
| 1215958772 | Back To Health of Branford, LLC | Chiropractor | 400 West Main Street, Branford, CT 06405 | 2006-07-21 |
| 1285806893 | Carpenos Chiropractic Center | Chiropractor | 666 Campbell Ave, West Haven, CT 06516-3775 | 2008-03-24 |
| 1922296110 | Edward C. Corsello D.c. L.l.c | Chiropractor | 3333 Main St, Stratford, CT 06614-4861 | 2007-10-12 |
| 1053401901 | Colleen Pace | Chiropractor | 3154 Whitney Ave, Hamden, CT 06518-2321 | 2006-10-13 |
| 1558381715 | Joseph M Gambino | Chiropractor | 526 Newfield Ave, Stamford, CT 06905 | 2006-07-20 |
| City | WASHINGTON DEPOT |
| Zip Code | 06794 |
Please comment or provide details below to improve the information on DR. KEVIN KEITH BODLING.
| 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.