NPI 1760825624 · live from the CMS NPI Registry
Brian R. Bodnarchuk, MD
Ophthalmology in Paducah, KY. National Provider Identifier 1760825624, active.
NPI record
| NPI | 1760825624 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 4630 Village Square Dr, Paducah, KY 42001 |
| Practice phone | 270-442-1671 |
| Enumerated | April 10, 2013 |
| Last updated | November 14, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology primary | 207W00000X | 50184 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.