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Contact Information

BRETT A BODAMER, DPM
2500 STARLING ST
SUITE 301
BRUNSWICK, GA31520-4265
 Phone: 912-265-4766
 Fax: 912-267-9857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRETT A BODAMER · (Male)

NPI Number 1083696389
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/14/2005
Last updated 04/22/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • GA License # POD000668
Hospital affiliation(s)
  • SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS - (Acute Care)
    2415 PARKWOOD DRIVE
    BRUNSWICK, GA 31520
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.

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