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

Vipul Bodar

Individual provider Internal Medicine Physician · NPI 1073903803

Vipul Bodar is an Internal Medicine in Albuquerque, New Mexico. Qualified in 2009, 17 years ago. Practices with Cogent Healthcare of Georgia PC, a 255-clinician group and accepts Medicare assignment. Licensed in New Mexico and Wisconsin.

Years since qualifying
17
Licensed in
NM, WI
In the registry since
2015
Specialties on file
3

Practice location Address checks out

1501 San Pedro Dr SE # 2C-100
Albuquerque, NM 87108-5180
Phone: (505) 272-3120
Fax: (505) 265-1711
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD2016-0585 (NM)
Internal Medicine Physician Taxonomy 207R00000X · Licence 65444-20 (WI)
Clinical Informatics Physician Taxonomy 2083C0008X · Licence MD2016-0585 (NM)

Record details

NPI number1073903803
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2015
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Cogent Healthcare Of Georgia Pc — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Albuquerque