Individual provider Active NPI

Craig A Bogen, MD

  • Neurology Physician
  • Upland, PA
National Provider Identifier
1154344661
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD027313E Issued in PA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000099 PA Practitioner - Neurology 5698850840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD027313EPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Neurosciences Institute LLC Neurology CurrentSince Feb 26, 2019 Accepting new patients
Temple Neurology Neurology PastSince Apr 2, 2003 Accepting new patients
Gni Neuroservices LLC PastSince Jan 15, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.