Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin David Boodt, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780212514

Benjamin David Boodt, MD is an Emergency Medicine in Emeryville, California. Graduated from Indiana University School of Medicine in 2020, 6 years ago. Practices with Cep America LLC, a 985-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone: (510) 350-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3525 Southern Blvd, Kettering, OH 45429-1221 — (937) 395-8839

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01088947A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780212514
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESJune 30, 2023
Certification dateMay 9, 2023
Mailing address2100 Powell St Ste 400, Emeryville, CA 94608-1872

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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