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

Kurt O Bodily, MD

Individual provider Gastroenterology Physician · NPI 1780600312

Kurt O Bodily, MD is a Gastroenterology in Provo, Utah. Graduated from Washington University School of Medicine in 1990, 36 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
36
Trained at
Washington University School of Medicine
Licensed in
UT
In the registry since
2006
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

1055 N 500 W Ste 100
Provo, UT 84604-3305
Phone: (801) 374-1268
Fax: (801) 812-5454
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 322494-1205 (UT)

Record details

NPI number1780600312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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