BONNIE DULANEY HODGE (MD) – Dermatology Physician, NPI 1861955429

BONNIE DULANEY HODGE (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD.41773 (AL). The NPI Number for BONNIE DULANEY HODGE (MD) is 1861955429

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE DULANEY HODGE (MD)
NPI
1861955429
Phone
(205) 996-7546
Address
500 22ND ST S STE 3400
Enumeration Date
10 April 2019
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
2519283844
Graduation Year
2019 (7 years ago)
PAC ID
1052776465
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20230508000498
Address ID
AL365323349FA202XXPKWY400

Contacts

Secure Messaging
Bonnie.Hodge@forefrontdermatology.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

207 DERMATOLOGY in AL

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Provider Addresses for BONNIE DULANEY HODGE (MD)

  • 22nd Street South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35205:35233, United States

    BIRMINGHAM, AL 352333110

    Phone: (205) 996-7546

    Fax: (205) 731-9751

    Type: Mailing

  • 833, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35211, United States

    BIRMINGHAM, AL 352111323

    Phone: (205) 783-7663

    Type: Location

  • 200 Rock Creek Pkwy

    Fairhope, AL 365323349

    Phone: (251) 928-3844

    Fax: (251) 928-3353

    Type: Location

  • 1620 N McKenzie St

    Foley, AL 365352248

    Phone: (251) 501-2240

    Fax: (251) 545-4254

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 202 ROCK CREEK PKWY

    FAIRHOPE, AL 365323349

    Phone: (251) 928-3844

    Fax: (251) 928-3353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $2,674.

Total Amount is formed as General ($2,674) + Research ($0) + Ownership ($0) = $2,674.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,195).

Total Amount

$2,674

General + Research + Ownership

Payments

105

Total payment records

General Amount

$2,674

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230508000498IDermatologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths27666$0
17000Destruction of precancer skin growth, 1 growth9793$0
99213Established patient office or other outpatient visit, 20-29 minutes8481$0
11102Biopsy of related skin growth, first growth7370$0
99214Established patient office or other outpatient visit, 30-39 minutes6257$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Is BONNIE DULANEY HODGE (MD) listed with a National Provider Identifier?
Yes — BONNIE DULANEY HODGE (MD) has NPI 1861955429 on file in the registry.
Is there an active status for BONNIE DULANEY HODGE (MD)?
For scheduling context, BONNIE DULANEY HODGE (MD) is shown as active in the registry.
What clinical focus is listed for BONNIE DULANEY HODGE (MD)?
At a glance, BONNIE DULANEY HODGE (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BONNIE DULANEY HODGE (MD)?
Directory geography for BONNIE DULANEY HODGE (MD) centers on Birmingham, Alabama.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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