NPIMap

Individual provider Active NPI

Brandon Boggs

  • Case Manager/Care Coordinator
  • Ironton, OH
National Provider Identifier
1154032647
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2727 S 3Rd St
Ironton, OH 45638-2760
Phone
(740) 534-2100
NPI assigned
Dec 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2727 S 3Rd St
Ironton, OH 45638-2760

Mailing address

2727 S 3Rd St
Ironton, OH 45638-2760
Phone (740) 534-2100

Other practice location 1

604 4th St E
South Point, OH 45680-9113
Phone (740) 534-2100

Other practice location 2

104 E Main St
Newark, OH 43055-5651
Phone (740) 534-2939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Services LLC PastSince Mar 24, 2025 Accepting new patients
Bethesda Services LLC PastSince Aug 1, 2024 Accepting new patients
Phoenix Group Home, LLC Past Accepting new patients
Deeds Family Vision Care Inc. Past Accepting new patients
Phoenix Group Home, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bethesdaservicesllc/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1154032647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382760",
            "telephone_number": "740-534-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382760",
            "telephone_number": "740-534-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 4th St E",
            "address_purpose": "LOCATION",
            "city": "South Point",
            "state": "OH",
            "postal_code": "456809113",
            "country_code": "US",
            "telephone_number": "740-534-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 E Main St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430555651",
            "country_code": "US",
            "telephone_number": "740-534-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.