Blake Michael Bodendorfer, MD
Blake Michael Bodendorfer, MD is an Orthopedic Surgery in Council Bluffs, Iowa. Graduated from University of Missouri, Columbia School of Medicine in 2015, 11 years ago. Practices with MD West One PC, a 85-clinician group. Licensed in Illinois.
- Years since qualifying
- 11
- Trained at
- University of Missouri, Columbia School of Medicine
- Licensed in
- IL
- In the registry since
- 2015
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1 Edmundson Pl Ste 500Council Bluffs, IA 51503-4619
Phone: (712) 323-5333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Orthopaedic Surgery) Physician (primary) | Taxonomy 207XX0005X · Licence 036152051 (IL) |
|---|
Record details
| NPI number | 1083000905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 7, 2015 |
| Last updated in NPPES | August 2, 2021 |
| Certification date | August 2, 2021 |
| Mailing address | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduated | 2015 (11 years in practice) |
| Group practice | Md West One Pc — 85 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 6 on file with Medicare |