WILLIAM RAYMOND BODNER, M.D. — NPI 1588714752 (Licensed & Credentialed Radiology, Therapeutic Radiology in BRONX, NY)

CMS-1500 Box 24J / 33a • NPI

1588714752

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2085R0203X

Licensed & Credentialed Radiology, Therapeutic Radiology

Box 32 Service Location & ZIP+4

1625 POPLAR ST, BRONX, NY, 10461-2653

✓ 9-Digit EDI 837 ZIP+4 (10461-2653)

Practice Phone & Referral Fax

(718) 405-8550

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1588714752 (WILLIAM RAYMOND BODNER, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1588714752` (NPI-1 Individual Practitioner)
Provider / Legal Name	WILLIAM RAYMOND BODNER, M.D.
Plain-English Specialty	Licensed & Credentialed Radiology, Therapeutic Radiology NUCC Code: `2085R0203X` (Radiology, Therapeutic Radiology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1625 POPLAR ST, BRONX, NY, 10461-2653
Practice Telephone / Fax	Tel: (718) 405-8550
Administrative Mailing Address	193 KEELER DR, RIDGEFIELD, CT, 06877-1009
Enumeration & Last Sync	Enumerated: 2007-01-11 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1625 POPLAR ST, BRONX, NY, 10461-2653

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Plain-English Taxonomy & CMS Crosswalk (2085R0203X)

What Does Taxonomy Code 2085R0203X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0203X translates to:
"Licensed & Credentialed Radiology, Therapeutic Radiology"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiology, Therapeutic Radiology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WILLIAM RAYMOND BODNER, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085R0203X` — Radiology, Therapeutic Radiology Plain English: Licensed & Credentialed Radiology, Therapeutic Radiology	State: NY \| License: `191249` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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WILLIAM RAYMOND BODNER, M.D. (NPI #1588714752)