Nicholas B Bodenheimer (NPI# 1457642134, PAC ID# 5395979579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1457642134 |
| PAC ID by PECOS | 5395979579 |
| Professional Enrollment ID | I20150630002191 |
| Full Name | Nicholas B Bodenheimer |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
9955 Poplar Tent Rd Concord NC 28027-9314 |
| Phone Number | 7043164828 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 584 Hospital Dr Ne B, Bolivia, NC 28422-9047 | 9107214050 | NOVANT MEDICAL GROUP INC |
| 9955 Poplar Tent Rd, Concord, NC 28027-9314 | 7043164828 | NOVANT MEDICAL GROUP INC |
| 106 Langtree Village Dr, Suite 200, Mooresville, NC 28117-7571 | 7043164830 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
9955 POPLAR TENT RD |
| City | CONCORD |
| State | NC |
| Zip | 28027-9314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael John Sexton | Obstetrics/gynecology | Novant Medical Group Inc | 9955 Poplar Tent Rd, Concord, NC 28027-9314 |
| Ebony N Parson | Obstetrics/gynecology | Novant Medical Group Inc | 9955 Poplar Tent Rd, Concord, NC 28027-9314 |
| Ashikaben K Patel | Obstetrics/gynecology | Novant Medical Group Inc | 9955 Poplar Tent Rd, Concord, NC 28027-9314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg W Hayden | Physical Therapy | Benchmark Physical Therapy of North Carolina LLC | 354 George W Liles Pkwy Nw, Suite 140, Concord, NC 28027-2405 |
| Geoffrey A Rose | Chiropractic | 331 Coddle Market Dr Nw, Suite 110, Concord, NC 28027-2419 | |
| Jason R Rose | Chiropractic | Carolina Totalcare Pa | 331 Coddle Market Dr Nw, Suite 110, Concord, NC 28027-2419 |
| Ryan C Corte | Optometry | Modern Eye Care Od Pa | 5325 Vinning St Nw, Concord, NC 28027-2946 |
| Timothy John Eichenbrenner | Pediatric Medicine | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| William Lee Thomas | Family Medicine | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Kashmira P Wankhedkar | Internal Medicine | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Hang Hoang | Nurse Practitioner | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Sitarama R Chintalapati | Hospitalist | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Candace A Boone | Nurse Practitioner | Novant Medical Group Inc | 5325 Vinning Nwst, Suite 101, Concord, NC 28027-2956 |
| Find all physicians in zip 28027 | |||
| City | CONCORD |
| Zip Code | 28027 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CONCORD + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Nicholas B Bodenheimer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.