BERTRAND BODO (NP) – Acute Care Nurse Practitioner, NPI 1013379304

BERTRAND BODO (NP) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP130666 (TX). The NPI Number for BERTRAND BODO (NP) is 1013379304

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
BERTRAND BODO (NP)
NPI
1013379304
Phone
(806) 475-5544
Address
8214 MILWAUKEE AVE
Enumeration Date
24 March 2016
Last Update Date
3 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067974985
Graduation Year
2015 (11 years ago)
PAC ID
6709184351
Group Practice PAC ID
3173579844
Professional Enrollment ID
I20160414000722
Address ID
TX794163111LU301XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

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Provider Addresses for BERTRAND BODO (NP)

  • 8214, Milwaukee Avenue, Ironton, Lubbock, Lubbock County, Texas, 79424, United States

    STE 200

    LUBBOCK, TX 794240923

    Phone: (806) 475-5544

    Fax: (806) 475-5545

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $559.

Total Amount is formed as General ($559) + Research ($0) + Ownership ($0) = $559.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Globus Medical, Inc. ($168).

Total Amount

$559

General + Research + Ownership

Payments

13

Total payment records

General Amount

$559

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-04-14

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
I20160414000722INurse PractitionerTXTBD

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
73030X-ray of shoulder, minimum of 2 views6249$0
J1040Injection, methylprednisolone acetate, 80 mg4131$0
23472Prosthetic repair of shoulder joint, total shoulder3938$0
99213Established patient office or other outpatient visit, 20-29 minutes3430$0
99214Established patient office or other outpatient visit, 30-39 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 79424)

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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: 3173579844View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
-TX
Orthopedic SurgeryTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Physical Therapist In Private PracticeTX
Physician AssistantTX
-TX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

How do payers reference BERTRAND BODO (NP)?
For BERTRAND BODO (NP), use NPI 1013379304 as the unique 10-digit identifier.
Active or inactive — what applies to BERTRAND BODO (NP)?
You should see BERTRAND BODO (NP) as active in CMS-hosted NPPES data.
How would a patient describe BERTRAND BODO (NP)'s focus?
For BERTRAND BODO (NP), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BERTRAND BODO (NP) associated with Lubbock?
Public fields place BERTRAND BODO (NP) around Lubbock, Texas. Always confirm the exact site before visiting.
Does BERTRAND BODO (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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