NPI 1659908929 · live from the CMS NPI Registry
Nicholas Oliver Bodnar, MD, PhD
Psychiatry & Neurology, Neurology in Boston, MA. National Provider Identifier 1659908929, active.
NPI record
| NPI | 1659908929 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 75 Francis St, Boston, MA 02115 |
| Practice phone | 617-732-5500 |
| Mailing address | 79 Burroughs St, Jamaica Plain, MA 02130 |
| Enumerated | March 25, 2020 |
| Last updated | March 27, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 1018173 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.