DR. BHAGYALAKSHMI GOPAL BOGGARAM (NPI# 1922218403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922218403 |
| Entity Type | Individual |
| Full Name | DR. BHAGYALAKSHMI GOPAL BOGGARAM |
| Other Name | BHAGYA G. BOGGARAM |
| Credential | MD |
| Practice Address |
1305 Airport Fwy Ste 205 Bedford TX 76021-6605 |
| Mailing Address |
321 N Highland Ave Ste 200 Sherman TX 75092-7371 |
| Practice Telephone | 8172676290 |
| Practice Fax Number | 8172670950 |
| Mailing Telephone | 9038935141 |
| Mailing Fax Number | 9033283224 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
N3508 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 204805001 | 05 |
| Street Address |
1305 AIRPORT FWY STE 205 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304743 | James Marcellus Barry Jr. | Psychiatry & Neurology | 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6606 | 2005-05-24 |
| 1033636477 | Amanda Dutro | Nurse Practitioner | 1305 Airport Fwy, Bedford, TX 76021-6605 | 2017-08-26 |
| 1811344302 | Cardiac Cath Lab of Mid Cities, Lp | Clinic/Center | 1305 Airport Fwy, Suite 121, Bedford, TX 76021-6605 | 2016-05-16 |
| 1356798854 | Mid Cities Asc, Lp | Clinic/Center | 1305 Airport Fwy, Suite 123, Bedford, TX 76021-6605 | 2016-05-16 |
| 1548644610 | Venkatesan D. Vidi, Md Pllc | Internal Medicine | 1305 Airport Fwy, Ste 421, Bedford, TX 76021-6605 | 2015-07-17 |
| 1801273800 | Manchester Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-04-29 |
| 1174917108 | Ashland Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-03-27 |
| 1104214642 | Kensington Interventional Pain Center, LLC | Clinic/Center | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-01-07 |
| 1326458191 | Mid-cities Cardiac Care Center, Pllc | Clinic/Center | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2014-05-02 |
| 1700228343 | Fisher Cardiology and Electrophyisology | Internal Medicine | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2013-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689985038 | North Texas Movement Disorders Institute, Inc | Psychiatry & Neurology | 2004 Bedford Rd, Suite 100, Bedford, TX 76021-7011 | 2010-06-30 |
| 1588759401 | Hamid Moayad | Psychiatry & Neurology | 2612 B Harwood Rd, Bedford, TX 76137 | 2006-10-04 |
| 1023119336 | Mid-cities Neurology Associates | Psychiatry & Neurology | 1305 Airport Fwy Ste 205, Bedford, TX 76021-6606 | 2006-09-26 |
| 1437252772 | Usha Walia | Psychiatry & Neurology | 2719 Northrdge Dr, Suite 107, Bedford, TX 76021-4142 | 2006-09-05 |
| 1285671578 | Robert Frank Richardson Jr. | Psychiatry & Neurology | 88 Center Rd Ste 230, Bedford, OH 44146-2708 | 2006-06-02 |
| 1982604427 | Valery N Lipenko | Psychiatry & Neurology | 1604 Hospital Pkwy Ste 200, Bedford, TX 76022-6930 | 2005-07-27 |
| 1952304743 | James Marcellus Barry Jr. | Psychiatry & Neurology | 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6606 | 2005-05-24 |
| 1629381041 | Sandeep Singh Kahlon | Psychiatry & Neurology | 1305 Airport Fwy Ste 205, Bedford, TX 76021 | 2010-07-15 |
| 1891944617 | Sharique Aslam Ansari | Psychiatry & Neurology | 1305 Airport Fwy, Suite 205, Bedford, TX 76021-6605 | 2008-09-17 |
| 1952591059 | Srirekha Maddukuri | Psychiatry & Neurology | 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6605 | 2007-07-26 |
| Find all providers in BEDFORD | ||||
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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.