Individual
MR. BRENT BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
807 N JEFFERSON ST, MILWAUKEE, WI 53202-8150
(414) 224-8219
(414) 224-8246
Mailing address
1177 QUAIL CT, SUITE 200, PEWAUKEE, WI 53072-3790
(262) 695-3057
(262) 695-3063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10968
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361161700
—
WI
01
—
APPLIED FOR
ALL NUMBERS APPLIED FOR
WI
Enumeration date
02/13/2008
Last updated
08/03/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us