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Active NPI 1265900120 Individual Practitioner Male Practitioner

Bryan Clifford Bodrog , LPCC

Counselor - Professional • New Brighton, MN

Professional Overview & Biography Verified Profile Summary

Bryan Bodrog, LPCC is a registered healthcare professional specializing in Counselor - Professional in New Brighton, MN. Practice services are available at 550 COUNTY ROAD D W STE 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

550 County Road D W Ste 10

New Brighton, MN 551123517

Telephone 6516444022

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in New Brighton, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
44 Specialists

Practicing in New Brighton, MN (2422 Statewide)

Telehealth Adoption Rate
18.2% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC01044

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Raina Eberly , PhD

Psychologist - Clinical

NPI 1629182126

Doctor of Philosophy (Ph.D.)

Leonard Moeller , LAMFT

Marriage & Family Therapist

NPI 1902298938

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active November 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2018

Registered at 550 COUNTY ROAD D W STE 10, NEW BRIGHTON, MN 551123517 (Tel: 6516444022)

📍
Updated Business Mailing Address November 08, 2018

Registered at 550 COUNTY ROAD D W STE 10, NEW BRIGHTON, MN 551123517 (Tel: 6516444022)

👤
Provider Name / Credentials Updated November 08, 2018

Recorded as BRYAN BODROG, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Counselor (License #CC01044 in MN)

🟢
Initial NPI Registration & Enumeration November 08, 2018

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: 1265900120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2018
Last Update: November 08, 2018
Sole Proprietor: No
Update or Correct Profile

Mailing Address

550 County Road D W Ste 10

New Brighton, MN 551123517

Phone: 6516444022

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.