Nicole Bodine
Medical Specialty
Professional ID
- NPI: 1780981159
- PECOS ID: 1850574120
- Enrollment ID: I20110323000869
- Credential(MD, DO, DPM):
- Medical School: University Of South Alabama College Of Medicine
- Medical School Graduation Year: 2010
Hospital Service
- Hospital CCN1: 010083
- Business Name (LBN)1: South Baldwin Regional Medical Center
Medical Practices
- Organization Name: Sacred Heart Hospital Of Pensacola
- Group Practice ID assigned by PECOS: 3779491386
- Number of Group Practice member: 255
Location
- Address1: 3099 Loop Rd
- Address2:
- City: Orange Beach
- State: Alabama
- Zip Code: 36561
- Phone Number: (251)981-2377
Medical Practices
- Organization Name: Foley Clinic Corp.
- Group Practice ID assigned by PECOS: 5193741759
- Number of Group Practice member: 42
Location
- Address1: 101 E 15th St
- Address2:
- City: Gulf Shores
- State: Alabama
- Zip Code: 36542
- Phone Number: (251)968-5901
Medical Practices
- Organization Name: Alabama Providence Healthcare Services
- Group Practice ID assigned by PECOS: 9638308430
- Number of Group Practice member: 50
Location
- Address1: 1700 W 2nd St
- Address2:
- City: Gulf Shores
- State: Alabama
- Zip Code: 36542
- Phone Number: (251)967-4000
Location
- Address1: 6701 Airport Blvd
- Address2: A101
- City: Mobile
- State: Alabama
- Zip Code: 36608
- Phone Number: (251)633-8880
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):