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

Stephan John Bodnar

Individual provider Certified Registered Nurse Anesthetist · NPI 1366051005

Stephan John Bodnar is a Certified Registered Nurse Anesthetist (CRNA) in Richmond, Virginia. Qualified in 2020, 6 years ago. Practices with Smg Anesthesia Specialists LLC, a 498-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
6
Licensed in
NC, VA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone: (804) 483-0000
Show map & directions

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

Additional practice locations (3)

  • 1201 Sam Perry Blvd Ste 101, Fredericksburg, VA 22401-4490 — (540) 741-7614
  • 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 — (540) 741-7614
  • 101 Hospital Center Blvd, Stafford, VA 22554-6200 — (540) 741-7614

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024180046 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 296000 (NC)

Record details

NPI number1366051005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2020
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address2114 Winnwood Rd, Henrico, VA 23228-6046

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Smg Anesthesia Specialists Llc — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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