NPI age
20 years
Enumerated 2005-07-01
● Active
Type 1 · Individual
DR. David J Bodne, MD
Bodne is 1 of 1 radiology providers in Brooks and 1 of 1280 in Georgia.
Primary specialty
Radiology
Plus 6 subspecialties
Licensed in
GA, AL, WY, MO, GU, ND, CA
7 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active radiology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
7 states
Top 78% — 21% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
535 Mask Rd
Brooks, GA 302052214
Mailing address
1010 N 102nd St Ste 201
Omaha, NE 681142122
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
6000 Hospital Dr
Hannibal, MO 634016887
Location 3
2305 37th Ave Sw
Minot, ND 587017669
Location 4
745 Poplar Road
Newnan, GA 326051618
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
SpecialistAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000542264M | |
| 05 (AL) | 009948040 | |
| 01 (AL) | 51500979 | BLUE CROSS BLUE SHIELD AL |
| 01 (GA) | P01064288 | RAILROAD MEDICARE |
Multi-state credentialing: Licensed in 7 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.