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

Dr. Matthew S Bodner, MD

Individual provider Anesthesiology Physician · NPI 1164449674

Dr. Matthew S Bodner, MD is an Anesthesiology Physician in Tallassee, Alabama. Practices as a sole proprietor. Licensed in Alabama, Missouri and Wisconsin.

Licensed in
AL, MO, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5 Gilmer Pkwy Ste 1
Tallassee, AL 36078-1215
Phone: (334) 731-4500
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 10657 (AL)
Anesthesiology Physician Taxonomy 207L00000X · Licence R5J60 (MO)
Anesthesiology Physician Taxonomy 207L00000X · Licence 50121-20 (WI)

Record details

NPI number1164449674
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESSeptember 20, 2007
Mailing address5 Gilmer Pkwy, Suite 1, Tallassee, AL 36078-1215