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

Brandon Karl Bodlak, DO

Individual provider Family Medicine Physician · NPI 1144251810

Brandon Karl Bodlak, DO is a Family Practice in Gainesville, Florida. Qualified in 2005, 21 years ago. Practices with Family Practice Associates PA, a 4-clinician group. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4410 W Newberry Rd Ste B
Gainesville, FL 32607-2290
Phone: (353) 372-7800
Fax: (352) 372-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS9633 (FL)

Record details

NPI number1144251810
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 9, 2007
Mailing address4410 W Newberry Rd Ste B, Gainesville, FL 32607-2290

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Family Practice Associates Pa — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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