# DR BODMAN PODIATRY ASSOCIATES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215008735
- **Authorized official:** MICHAEL JAMES BODMAN DPM (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (440) 356-1989

## Contact information

- **Practice address:** 21245 LORAIN ROAD, SUITE 115, FAIRVIEW PARK, OH 44126-2140
- **Practice address phone:** (440) 356-1989
- **Practice address fax:** (440) 356-5944
- **Mailing address:** 21245 LORAIN ROAD, SUITE 115, FAIRVIEW PARK, OH 44126-2140
- **Mailing address phone:** (440) 356-1989
- **Mailing address fax:** (440) 356-5944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36001747 | OH | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 06/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2250237 | — | OH |