DR. BRANDON COY BOGLE (NPI# 1699082479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699082479 |
| Entity Type | Individual |
| Full Name | DR. BRANDON COY BOGLE |
| Credential | PHD |
| Practice Address |
514 N Main St Rural Retreat VA 24368-3123 |
| Mailing Address |
7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 |
| Practice Telephone | 8883656271 |
| Mailing Telephone | 2106153483 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004813 | VA | Behavioral Health & Social Service Providers |
| Street Address |
514 N MAIN ST |
| City | RURAL RETREAT |
| State | VA |
| Zip Code | 24368-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283618 | Miranda Paige Davidson | Occupational Therapy Assistant | 514 N Main St, Rural Retreat, VA 24368-3123 | 2020-04-09 |
| 1205484441 | Advance Practice Geriatrics and Wound Specialist, LLC | Nurse Practitioner | 514 N Main St, Rural Retreat, VA 24368-3123 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770914053 | Sondra Alicia Monahan | Occupational Therapy Assistant | 694 Ward Branch Road, Rural Retreat, VA 24368 | 2013-12-11 |
| 1134466055 | Jeanie Lea Gonzalez | Pharmacist | 7059 West Lee Hwy, Rural Retreat, VA 24368 | 2013-01-11 |
| 1275805863 | Family Preservation Services, Inc. | Community/Behavioral Health | 514 North Main Street, Rural Retreat, VA 24368 | 2012-01-30 |
| 1871633024 | Lee Anne Francis Lefler | Pharmacy Technician | 7059 West Lee Highway, Rural Retreat, VA 24368 | 2007-02-07 |
| 1457446262 | Stampers Health Enterprises Inc | Durable Medical Equipment & Medical Supplies | 544 North Main St, Rural Retreat, VA 24368 | 2006-10-04 |
| 1356445589 | Michael W. Spraker | Dentist | 7061 West Lee Hwy, Rural Retreat, VA 24368 | 2006-09-08 |
| 1407804420 | Holly Lynn Smith | Legal Medicine | 306 South Main St., Rural Retreat, VA 24368 | 2006-05-04 |
| 1750725024 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 7021 West Lee Highway, Suite B, Rural Retreat, VA 24368 | 2013-04-17 |
| 1811269640 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 7021 West Lee Highway, Suite B, Rural Retreat, VA 24368 | 2012-02-09 |
| 1447543996 | Blue Ridge Medical Management Corporation | Family Medicine | 7021 West Lee Highway, Suite C, Rural Retreat, VA 24368 | 2011-05-17 |
| Find all providers in zip 24368 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | RURAL RETREAT |
| Zip Code | 24368 |
Please comment or provide details below to improve the information on DR. BRANDON COY BOGLE.
| 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.