Individual provider · Type 1 NPI
Blake Michael Bodendorfer, MD
Sports Medicine (Orthopaedic Surgery) Physician · Council Bluffs, IA
Practice location
1 Edmundson Pl Ste 500
Council Bluffs, IA 51503-4619
Mailing address
1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician Primary | 207XX0005X | 036152051 (IL) |
Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…
About NPI 1083000905
Blake Michael Bodendorfer, MD's National Provider Identifier is 1083000905, issued on Apr 7, 2015. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Council Bluffs, IA. The record was last updated on Aug 2, 2021.