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Deactivated NPI 1043380587 Deactivated / Inactive NPI Male Practitioner

Dr. Gary L Bodiford , MD

Ophthalmology • Jacksonville, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Bodiford has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 09, 2006
NPI Deactivation Date April 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Bodiford, MD was a registered Ophthalmology practicing in Jacksonville, IL. Throughout an active medical career spanning 13 years, Dr. Bodiford provided care at the practice location at 2000 W MORTON AVE until profile deactivation on 2019-04-09.

Practice Location & Contact Primary Location

Practice Address

2000 W Morton Ave

Jacksonville, IL 626502623

Telephone 2172456814
Fax 2172450375
Associated Practice Facility / Clinic
🏢 Prairie Eye Center, Ltd Facility NPI 1578766515

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Jacksonville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Jacksonville, IL (954 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036-137117

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1477252948

Doctor of Optometry

NPI 1477694982

Doctor of Medicine (M.D.)

NPI 1619256013

Doctor of Optometry

NPI 1740282797

Doctor of Medicine (M.D.)

NPI 1790715662

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 09, 2019

Record deactivated on April 09, 2019

NPI Profile Active January 22, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2015

Registered at 2000 W MORTON AVE, JACKSONVILLE, IL 626502623 (Tel: 2172456814)

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Updated Business Mailing Address January 22, 2015

Registered at 2000 W MORTON AVE, JACKSONVILLE, IL 626502623 (Tel: 2172456814)

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Provider Name / Credentials Updated January 22, 2015

Recorded as GARY BODIFORD, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2015

Ophthalmology (License #036-137117 in IL)

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Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043380587
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: January 22, 2015
Deactivation Date: April 09, 2019

Mailing Address

2000 W Morton Ave

Jacksonville, IL 626502623

Phone: 2172456814

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.