| Brady Jordan Bodine, DC | |
|
4517 Lead Mine Rd, Raleigh, NC 27612-3326 | |
| (919) 781-8830 | |
| Not Available |
| Full Name | Brady Jordan Bodine |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 4517 Lead Mine Rd, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427752609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5609 (North Carolina) | Primary |
| Provider Name | Crabtree Chiropractic Center, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114946332 PECOS PAC ID: 9931151644 Enrollment ID: O20090916000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Brady Jordan Bodine, DC 4517 Lead Mine Rd, Raleigh, NC 27612-3326 Ph: (919) 781-8830 | Brady Jordan Bodine, DC 4517 Lead Mine Rd, Raleigh, NC 27612-3326 Ph: (919) 781-8830 |
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