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

Stephan Bodkin, MED, ATC

Individual provider Athletic Trainer · NPI 1164935763

Stephan Bodkin, MED, ATC is an Athletic Trainer in Charlottesville, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

210 Emmet St S
Charlottesville, VA 22903-2455
Phone: (434) 924-6184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126002357 (VA)

Record details

NPI number1164935763
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , ATC
Sole proprietorYes
NPI enumeratedNovember 6, 2017
Last updated in NPPESNovember 6, 2017

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