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

Dr. Kenneth Edward Bodek, MD

Individual provider Cardiovascular Disease Physician · NPI 1871587923

Dr. Kenneth Edward Bodek, MD is a Cardiovascular Disease (Cardiology) in Winston Salem, North Carolina. Qualified in 1986, 40 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
40
Licensed in
NC, PA
In the registry since
2005
Specialties on file
3
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

186 Kimel Park Dr Ste 400
Winston Salem, NC 27103-6946
Phone: (336) 277-2000
Fax: (336) 277-2050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2013-01642 (NC)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD046703L (PA)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence MD046703L (PA)

Record details

NPI number1871587923
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2005
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Winston Salem