Individual provider · Type 1 NPI

Beverly A. Bodman, PA-C

Physician Assistant · Colorado Springs, CO

NPI number 1912984162 Active

Practice location

2840 International Cir
Colorado Springs, CO 80910-3127

Fax (719) 228-6609

Mailing address

340 Printers Pkwy
Colorado Springs, CO 80910-3190

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1164 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912984162

Beverly A. Bodman, PA-C's National Provider Identifier is 1912984162, issued on Dec 29, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 13, 2026.