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NPISignal

Individual Healthcare Provider

David J Bodne, MD

NPI Record: ActiveRadiology — Diagnostic Radiology
NPI1316944697
Brooks, Georgia

Provider's NPPES record last updated: May 21, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1316944697
Primary Specialty
Radiology — Diagnostic Radiology
Practice Location
Brooks, Georgia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:03 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Diagnostic Radiology

    Allopathic & Osteopathic Physicians

    Primary

    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

    Taxonomy code 2085R0202X
  • Specialist

    Other Service Providers

    An 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.

    Taxonomy code 174400000X

Provider-Reported License Information

Radiology (Georgia)
036687
Radiology (California)
C195626
Radiology (Illinois)
036.167992
Radiology (Missouri)
2024026884
Specialist (Alabama)
23913
Radiology (Wyoming)
16259C
Radiology (North Dakota)
20363
Radiology (Guam)
MC-185
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

535 Mask Rd

Brooks, Georgia 30205-2214

Phone: (833) 228-6889

Additional Practice Location

2305 37th Ave Sw

Minot, North Dakota 58701-7669

Phone: (701) 418-8000

Additional Practice Location

1045 W Stephenson St

Freeport, Illinois 61032-4864

Phone: (815) 599-6000

Fax: (815) 599-7974

Additional Practice Location

745 Poplar Road

Newnan, Georgia 32605-1618

Phone: (770) 400-1000

Fax: (256) 237-3787

Additional Practice Location

6000 Hospital Dr

Hannibal, Missouri 63401-6887

Phone: (573) 406-5888

Fax: (573) 248-5264

Record Information

Enumeration Date
July 1, 2005
Provider's NPPES Record Last Updated
May 21, 2026
Certification Date
May 21, 2026
NPISignal NPPES Dataset
August 2026

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