Brandon C Bodager (NPI# 1811263304, PAC ID# 8628346699) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1811263304 |
| PAC ID by PECOS | 8628346699 |
| Professional Enrollment ID | I20180612000194 |
| Full Name | Brandon C Bodager |
| Organization Legal Name | GBR SHEBOYGAN LLC |
| Address |
3100 Superior Ave Sheboygan WI 53081-1948 |
| Phone Number | 8004726710 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1951341064 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520075 | ST VINCENT HOSPITAL |
| 520113 | BAY AREA MEDICAL CENTER |
| 520044 | ST NICHOLAS HOSPITAL |
| 520097 | ST MARY'S HOSPITAL MEDICAL CENTER |
| 521310 | HSHS ST CLARE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1726 Shawano Ave, Green Bay, WI 54303-3216 | 9204984200 | GREEN BAY RADIOLOGY SC |
| 835 S Van Buren St, Green Bay, WI 54301-3526 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 835 S Van Buren St, Green Bay, WI 54301-3526 | 9204330111 | GREEN BAY RADIOLOGY SC |
| 900 S Webster Ave, Green Bay, WI 54301-3508 | 9204964700 | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| 3003 University Dr, Marinette, WI 54143-4110 | 8887882070 | GREEN BAY RADIOLOGY SC |
| 855 S Main St, Oconto Falls, WI 54154-1241 | 9208463444 | GREEN BAY RADIOLOGY SC |
| 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 9204574858 | ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS |
| 3100 Superior Ave, Sheboygan, WI 53081-1948 | 8004726710 | GBR SHEBOYGAN LLC |
| 3100 Superior Ave, Sheboygan, WI 53081-1948 | 9204598300 | ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS |
| Organization Legal Name | GBR SHEBOYGAN LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nami P Zarvan | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Jeremy B Mccue | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| James Ignatius Sladky | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Meghan Et Hanson | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Dennis J Bielke | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Ian A Sproat | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| David J Balison | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Henry K Feider | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Nicholas M Kolanko | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Tyler J Bailey | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Street Address |
3100 SUPERIOR AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip | 53081-1948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nami P Zarvan | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Gurminder Dhillon | Pulmonary Disease | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Jeremy B Mccue | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Peter M Falk | General Practice | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| James Ignatius Sladky | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Muniba Chohan | Internal Medicine | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Meghan Et Hanson | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Dennis J Bielke | Diagnostic Radiology | Gbr Sheboygan LLC | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Amanda A Coilan | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Bryan S Wichman | Anesthesiology | Anesthesiology Associates of Sheboygan, Ltd. | 3100 Superior Ave, Sheboygan, WI 53081-1948 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kay K Howie | Clinical Social Worker | 4027 S Business Dr, Suite 205, Sheboygan, WI 53081-1261 | |
| Kenneth Scott Heinen | Chiropractic | 1539 N 33rd Pl B, Sheboygan, WI 53081-1839 | |
| Ashley S Perez | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Doris Uhlig Theune | Nurse Practitioner | Sheboygan Physicians Group S.c. | 3315 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison Kescenovitz | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Stacia E Schmidt | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Alison J Risseeuw | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Kristen M Kaiser | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Tracy L Dumke | Occupational Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Shannon M Diamond | Physical Therapy | St. Nicholas Hospital-sisters of The Third Order of St Francis | 3303 Superior Ave, Sheboygan, WI 53081-1861 |
| Find all physicians in zip 53081 | |||
| City | SHEBOYGAN |
| Zip Code | 53081 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SHEBOYGAN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brandon C Bodager.
| 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.