Active NPI
Craig A Bogen, MD
- Neurology Physician
- Upland, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD027313E
- Practice address
- One Medical Center Blvd.
Acp, Suite 232
Upland, PA 19013-3902 - Phone
- (844) 464-6387
- Fax
- (215) 239-3037
- NPI assigned
- Jul 25, 2006
- Last updated
- Aug 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD027313E | PA | Primary |
Addresses
Primary practice location
One Medical Center Blvd.
Acp, Suite 232
Upland, PA 19013-3902
Mailing address
One Medical Center Blvd.
Acp, Suite 232
Upland, PA 19013-3902
Phone (844) 464-6387
Other practice location 1
7602 Central Ave
ste 203
Phila, PA 19111-2443
Phone (215) 342-6481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027313E | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Neurosciences Institute LLC | Neurology | Current | Accepting new patients |
| Temple Neurology | Neurology | Past | Accepting new patients |
| Gni Neuroservices LLC | Past | Accepting new patients |
Locations
10 Route 31 N
Pennington, NJ 08534
Phone (609) 303-3064
501 Bath Rd
Ste 201
Bristol, PA 19007
Phone (215) 785-9055
1 Medical Center Blvd
Ste 232
Chester, PA 19013
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
2601 Holme Ave
Ste 201
Philadelphia, PA 19152
1195 McDermott Dr
West Chester, PA 19380
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBJDCD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Chester, PA
- NPI 1275933228
Neurology
-
- Neurology Physician
- Philadelphia, PA
- NPI 1497776140
-
- Neurological Surgery Physician
- Lawrenceville, NJ
- NPI 1851794903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1154344661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER BLVD.",
"address_2": "ACP, SUITE 232",
"city": "UPLAND",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "844-464-6387",
"fax_number": "215-239-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER BLVD.",
"address_2": "ACP, SUITE 232",
"city": "UPLAND",
"state": "PA",
"postal_code": "190133902",
"telephone_number": "844-464-6387",
"fax_number": "215-239-3037"
}
],
"practiceLocations": [
{
"address_1": "7602 Central Ave",
"address_2": "ste 203",
"address_purpose": "LOCATION",
"city": "Phila",
"state": "PA",
"postal_code": "191112443",
"country_code": "US",
"telephone_number": "215-342-6481",
"fax_number": "215-722-2635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGEN",
"first_name": "CRAIG",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD027313E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.