MR. KIRKWOOD SR. BODDEN – Nurse Practitioner, NPI 1497237796

MR. KIRKWOOD SR. BODDEN is a healthcare provider. based in Bridgewater, New Jersey. specializing in Nurse Practitioner. They hold a License No. 26NJ00644200 (NJ). The NPI Number for MR. KIRKWOOD SR. BODDEN is 1497237796

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. KIRKWOOD SR. BODDEN
NPI
1497237796
Phone
(908) 393-4630
Address
2106 ACKMEN CT
Enumeration Date
4 September 2018
Last Update Date
23 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9736244908
Graduation Year
2015 (11 years ago)
PAC ID
2466780408
Group Practice PAC ID
0345306510
Professional Enrollment ID
I20190828003158
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for MR. KIRKWOOD SR. BODDEN

  • 2106 ACKMEN CT

    BRIDGEWATER, NJ 088073558

    Phone: (908) 393-4630

    Type: Mailing

  • University Hospital Helipad, 150, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07103, United States

    NEWARK, NJ 071032496

    Phone: (973) 972-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08807)

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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: 0345306510View full group profile

Reviews

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Frequently asked questions

What identifier follows MR. KIRKWOOD SR. BODDEN across health systems?
The NPI 1497237796 uniquely identifies MR. KIRKWOOD SR. BODDEN in U.S. healthcare data.
Should I treat MR. KIRKWOOD SR. BODDEN as an active provider?
Patients and plans typically see MR. KIRKWOOD SR. BODDEN as active in the national extract.
Which specialty label fits MR. KIRKWOOD SR. BODDEN?
NPPES ties MR. KIRKWOOD SR. BODDEN to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MR. KIRKWOOD SR. BODDEN in Bridgewater, New Jersey?
For routing, start with Bridgewater, New Jersey for MR. KIRKWOOD SR. BODDEN, then verify phone and hours locally.
Why is information missing for MR. KIRKWOOD SR. BODDEN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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