Provider Demographics
NPI:1568405066
Name:BODIE, FRANKIE LAVON (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKIE
Middle Name:LAVON
Last Name:BODIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0480
Mailing Address - Country:US
Mailing Address - Phone:251-415-1496
Mailing Address - Fax:251-415-1450
Practice Address - Street 1:1601 CENTER ST
Practice Address - Street 2:STE 3S
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1512
Practice Address - Country:US
Practice Address - Phone:251-415-1496
Practice Address - Fax:251-415-1450
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00008830207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000010746Medicaid
MS07405398Medicaid
AL009939259Medicaid
AL009939261Medicaid
AL009939258Medicaid
AL51536818OtherUSA MEDICAL PARK - BCBS
AL051010746OtherBLUE CROSS
AL51536817OtherUSA CENTER ST - BCBS
ALC74639Medicare UPIN
AL000010746Medicaid
AL51536818OtherUSA MEDICAL PARK - BCBS
AL009939259Medicaid