Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kenneth Edward Bodek, M.D.

Cardiovascular Disease Physician in Winston Salem, NC · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871587923

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Registry record

Entity type Individual (Type 1)

Name Dr. Kenneth Edward Bodek

Credential M.D.

Sex Male

Practice address 186 Kimel Park Dr, Suite 400, Winston Salem, NC, 27103

Phone (336) 277-2000

Fax (336) 277-2050

Enumeration date Sep 6, 2005

Last updated in NPPES Nov 15, 2023

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 2013-01642 (NC) Primary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License MD046703L (PA) Secondary

207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians · License MD046703L (PA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
024733E15	Other	PA	MEDICARE
0012804190005	Medicaid	PA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kenneth Bodek?

Kenneth Bodek is registered in NPPES with the primary taxonomy of Cardiovascular Disease Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Carlos Pimentel Cardiovascular Disease Physician · Winston Salem, NC NPI 1467457879 Robert Allen Physician Assistant · Winston-Salem, NC NPI 1154309359 Laura Bennett Physician Assistant · Winston-Salem, NC NPI 1487633483 Michael Drucker Clinical Cardiac Electrophysiology Physician · Winston Salem, NC NPI 1780664128 Kerry Gilliland Cardiovascular Disease Physician · Winston Salem, NC NPI 1316918683 Davidson Givens Cardiovascular Disease Physician · Winston Salem, NC NPI 1043281314 Lai Kok Clinical Cardiac Electrophysiology Physician · Winston Salem, NC NPI 1366414344 Charles Harris Cardiovascular Disease Physician · Winston Salem, NC NPI 1134191273

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-15.