BROOKE LYNN BOGGS (NPI# 1598243412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598243412 |
Entity Type | Individual |
Full Name | BROOKE LYNN BOGGS |
Credential | ATC |
Practice Address |
800 North Hazel St. Hammond LA 70401 |
Mailing Address |
800 Galloway Dr Hammond LA 70402-0001 |
Practice Telephone | 9855492253 |
Mailing Telephone | 9855492253 |
Enumeration Date | 2018-08-02 |
Last Update Date | 2018-08-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
AL5227 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033556113 | Brooke Nicole Boggs | Registered Nurse | 1917 W Faidley Ave, Grand Island, NE 68803-4642 | 2013-05-29 |
Street Address |
800 NORTH HAZEL ST. |
City | HAMMOND |
State | LA |
Zip Code | 70401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
1588184899 | Bloom Counseling Services, LLC | Counselor | 1905 W Thomas St D232, Hammond, LA 70401 | 2017-06-27 |
Find all providers in zip 70401 |
Taxonomy Code | 2083S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Sports Medicine |
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396307476 | Angelique Blair Carmouche | Preventive Medicine | Lsu Athletic Administration Building, Baton Rouge, LA 70803-0001 | 2019-06-28 |
1154546802 | Max Travis Mahaffey | Preventive Medicine | 3347 Masonic Dr, Alexandria, LA 71301-3842 | 2007-04-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.