Organization Active NPI

Ronald T. Bogusky, M.D., P.C.

  • Specialist
  • South Dartmouth, MA
National Provider Identifier
1073659819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36266 Issued in MA
Legal business name
RONALD T. BOGUSKY, M.D., P.C.
Practice address
307 Rock Odundee Rd
South Dartmouth, MA 02748-1443
Phone
(508) 990-8837
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald T. Bogusky, M.D.
Title
President
Phone
(508) 990-8837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 36266 MA Primary

Addresses

Primary practice location

307 Rock Odundee Rd
South Dartmouth, MA 02748-1443

Mailing address

307 Rock Odundee Rd
South Dartmouth, MA 02748-1443
Phone (508) 990-8837

Other identifiers 1

IdentifierTypeStateIssuer
3058492MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073659819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 ROCK ODUNDEE RD",
            "city": "SOUTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027481443",
            "telephone_number": "508-990-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 ROCK ODUNDEE RD",
            "city": "SOUTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027481443",
            "telephone_number": "508-990-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD T. BOGUSKY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGUSKY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-990-8837",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "36266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3058492",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.