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

Kevin Andrew Bodker, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508326505

Kevin Andrew Bodker, DO is a Neurology in Milwaukee, Wisconsin. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2019, 7 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
7
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
WI
In the registry since
2019
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.

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Practice location Address checks out

3120 S 27th St
Milwaukee, WI 53215-4338
Phone: (144) 672-8282
Fax: (414) 672-8284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 75438 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508326505
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address335 E Mahn Ct, Oak Creek, WI 53154-2155

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2019 (7 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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