Bertrand Bodo (NPI# 1013379304, PAC ID# 6709184351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013379304 |
| PAC ID by PECOS | 6709184351 |
| Professional Enrollment ID | I20160414000722 |
| Full Name | Bertrand Bodo |
| Organization Legal Name | GRACE CLINIC OF LUBBOCK |
| Address |
4515 Marsha Sharp Fwy Lubbock TX 79407-2520 |
| Phone Number | 8067447223 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597768101 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450162 | GRACE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 8067447223 | GRACE CLINIC OF LUBBOCK |
| Organization Legal Name | GRACE CLINIC OF LUBBOCK |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayleigh Mccarrell | Certified Registered Nurse Anesthetist (crna) | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Ramakrishnan Ranganath | Interventional Cardiology | Grace Clinic of Lubbock | 2412 50th St, Lubbock, TX 79412-2504 |
| Kathleen K Sears | Obstetrics/gynecology | Grace Clinic of Lubbock | 3711 20th St, Suite A, Lubbock, TX 79410-1223 |
| Bhupesh H Dihenia | Neurology | Grace Clinic of Lubbock | 3815 23rd St, Lubbock, TX 79410-1809 |
| Hemmo A Bosscher | Interventional Pain Management | Grace Clinic of Lubbock | 3505 22nd Pl, Lubbock, TX 79410-1315 |
| Sixtus Z Atabong | Physician Assistant | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Roberta Beals | Family Medicine | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Benjamin Lloyd Fluhman | Podiatry | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Howard Hurd Ii | Internal Medicine | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Richard George | Neurosurgery | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Street Address |
4515 MARSHA SHARP FWY |
| City | LUBBOCK |
| State | TX |
| Zip | 79407-2520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayleigh Mccarrell | Certified Registered Nurse Anesthetist (crna) | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Sixtus Z Atabong | Physician Assistant | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Roberta Beals | Family Medicine | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Benjamin Lloyd Fluhman | Podiatry | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Howard Hurd Ii | Internal Medicine | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Richard George | Neurosurgery | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Brent B Nall | Obstetrics/gynecology | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Jared Z Brinker | Family Medicine | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Joshua C Demke | Otolaryngology | Texas Tech University Health Sciences Center Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Kristen Leigh Patterson | Obstetrics/gynecology | Grace Clinic of Lubbock | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gisela M Mueller | Physical Therapy | 1901 W Loop, Lubbock, TX 79407-1725 | |
| Robert J Mamlok | Allergy/immunology | 5424 19th St, Suite 300, Lubbock, TX 79407-2164 | |
| Nicole Brints-viner | Physical Therapy | Physical Therapy Today of Lubbock Lp | 4138 19th St, Lubbock, TX 79407-2403 |
| Derek Young | Physical Therapy | Physical Therapy Today of Lubbock Lp | 4138 19th St, Lubbock, TX 79407-2403 |
| Kathryn Curry | Physical Therapy | Physical Therapy Today of Lubbock Lp | 4138 19th St, Lubbock, TX 79407-2403 |
| Shonda Marie Rowell-hazel | Physical Therapy | Physical Therapy Today of Lubbock Lp | 4138 19th St, Lubbock, TX 79407-2403 |
| Ryan T Schwalk | Physical Therapy | Physical Therapy Today of Lubbock Lp | 4138 19th St, Lubbock, TX 79407-2403 |
| Jordan Fultz | Physical Therapy | Physical Therapy Today of Lubbock Lp | 4138 19th St, Lubbock, TX 79407-2403 |
| Landon Harris Nauert | Physical Therapy | Physical Therapy Today of Lubbock Lp | 4138 19th St, Lubbock, TX 79407-2403 |
| Justin Ryan Smallwood | Physical Therapy | Physical Therapy Today of Lubbock Lp | 4138 19th St, Lubbock, TX 79407-2403 |
| Find all physicians in zip 79407 | |||
| City | LUBBOCK |
| Zip Code | 79407 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LUBBOCK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Bertrand Bodo.
| 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.