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

Dr. Nicholas Barrett Bodenheimer, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457642134

Dr. Nicholas Barrett Bodenheimer, DO is an Obstetrics/Gynecology in Bolivia, North Carolina. Qualified in 2011, 15 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2011
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

584 Hospital Dr Ste B
Bolivia, NC 28422-9047
Phone: (910) 721-4050
Fax: (910) 721-4051
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 201500279 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NC)

Record details

NPI number1457642134
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2011
Last updated in NPPESOctober 25, 2020
Certification dateSeptember 6, 2020

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bolivia