Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Kristopher Bodner, PA-C

Individual provider Physician Assistant · NPI 1801819040

Jason Kristopher Bodner, PA-C is a Physician Assistant in Winston Salem, North Carolina. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2000, 26 years ago. Practices with Duke Health Integrated Practice Inc, a 3,094-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
26
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

140 Kimel Park Dr
Winston Salem, NC 27103-6160
Phone: (336) 245-2100
Fax: (336) 768-7782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04142 (NC)

Record details

NPI number1801819040
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESMarch 6, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Duke Health Integrated Practice Inc — 3094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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