Paul F Bogner, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0418813 Issued in KS

Practice address

700 Medical Center Dr
Ste 101
Newton, KS 67114-9017

Phone

(316) 283-2800

Fax

(316) 283-3575

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013985985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "address_2": "STE 101",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149017",
            "telephone_number": "316-283-2800",
            "fax_number": "316-283-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "address_2": "STE 101",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149017",
            "telephone_number": "316-283-2800",
            "fax_number": "316-283-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGNER",
        "first_name": "PAUL",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0418813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "111178029",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100205180F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Billings
• Joanna Christine Bjerum, LSCSW
• Rachel Lynn Bloedel
• Erin Boccia, RD, LD, CDE
• Megan A Boers
• David L Bohlender, MD
• Timothy J Bolen, PT
• Linda Tellez Boone, LMLPT
• Hannah Bradley
• Kent R Bradley, MD

• All providers in Newton, KS
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.