National Provider Identifier Database

WILLIAM R BODNER III, MD – NPI #1588714752
Radiation Oncology

January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.


Contact Information

WILLIAM R BODNER III, MD
1625 POPLAR ST
BRONX, NY10461-2653
Phone: 718-405-8550
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for WILLIAM R BODNER III

NPI Number 1588714752
Credentials MD
Entity Individual
Enumeration date 01/11/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 191249
  • NY Medicaid: 01632975
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for WILLIAM R BODNER III, MD

There are currently no reviews for WILLIAM R BODNER III, MD


NPIdb - Home
v2.201