Bogerosa Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

ND 534 Issued in ND

Legal business name

BOGEROSA INC.

Practice address

602 Ash Avenue
Glen Ullin, ND 58632-0065

Phone

(701) 348-9175

NPI assigned

Mar 15, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark W Bogert, PTNPI 1235302878

Title

Owner

Phone

(701) 426-7095

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark William Bogert, PT

  • Physical Therapist
  • Glen Ullin, ND
  • NPI 1235302878
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1043289895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 AMBERGLOW DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038846",
            "telephone_number": "701-426-7095",
            "fax_number": "701-250-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ASH AVENUE",
            "city": "GLEN ULLIN",
            "state": "ND",
            "postal_code": "586320065",
            "telephone_number": "701-348-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGEROSA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BOGERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-426-7095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "ND 534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF",
            "identifier": "24439",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twyla Jane Barth
• Mark William Bogert, PT
• Cathy A Chavarria
• Amanda Dewees, CNA
• Linda Duppong, PA-C
• Sara Farrell, PT, DPT, CLT

• Physical Therapist in Glen Ullin, ND
• Providers in Glen Ullin, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.