Blake M. Bodendorfer, M.D.
Orthopaedic Sports Medicine · Council Bluffs, IA
UnclaimedM.D.NPI 1083000905
- Primary taxonomy
- 207XX0005X
- Enumerated
- 2015-04-07
- Practice location
- Council Bluffs, IA
- Last NPPES update
- 2021-08-02
State licenses
- IL · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.