Doctor profile · Federal record
Dr. Theodore Jerdee, M.D.
Diagnostic Radiology Physician · General Practice Physician · Travis Afb, CA
- NPI 1104806397
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
101 Bodin Cir, 60 Mdg/Sgqx
Travis Afb, CA 945351809
(707) 423-7182
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- July 25, 2014
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- California #C53747 · Oklahoma #22461
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104806397. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$15
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ipsen Biopharmaceuticals, INC | 1 | $14.97 |
By nature of payment
Frequently asked questions
What is Dr. Theodore Jerdee's medical specialty?
Dr. Theodore Jerdee practices Diagnostic Radiology Physician in Travis Afb, CA.
Where does Dr. Theodore Jerdee practice?
Dr. Theodore Jerdee practices at 101 Bodin Cir, Travis Afb, CA 945351809. Office phone: 7074237182.
What is Dr. Theodore Jerdee's NPI?
Dr. Theodore Jerdee's National Provider Identifier (NPI) is 1104806397, issued by NPPES.