Individual provider Active NPI

Vincent Bernard Bogan, MSN-CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Belvoir, VA
National Provider Identifier
1174569263
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024164349 Issued in VA
Practice address
9501 Farrell Rd
Dewitt Army Community Hospital
Fort Belvoir, VA 22060-5901
Phone
(703) 805-0342
Fax
(703) 805-0731
NPI assigned
Jun 20, 2006
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024164349 VA Primary

Addresses

Primary practice location

9501 Farrell Rd
Dewitt Army Community Hospital
Fort Belvoir, VA 22060-5901

Mailing address

8402 Sego Lily CT
Lorton, VA 22079
Phone (703) 919-7859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040225000079 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284520461 Reassigns benefits to 3 organizations
I20080415000316 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284520461 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Dominion Anesthesia LLCGroup PAC ID 8820462765, 57 clinicians

Practice addresses (Care Compare)

14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4723
Phone (703) 580-0181

3914 Centreville Rd
Suite 350
Chantilly, VA 20151-3289
Phone (703) 956-6831

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
74.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince May 1, 2021 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince May 1, 2021 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Dec 1, 2017 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Dec 1, 2017 Accepting new patients
Wichita Ambulatory Anesthesia Providers LLC CurrentSince Oct 21, 2021 Accepting new patients
Inova Cares - Community CurrentSince Jun 12, 2023 Accepting new patients
Old Dominion Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2024 Accepting new patients
Inova Health Care Services Current Accepting new patients
Northern Virginia Anesthesia Assoc. Past Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
American Anesthesiology Associates of Virginia, Inc Past Accepting new patients
Pain Management Associates, LLC Past Accepting new patients
MCV Associated Physicians PastSince Sep 1, 1995 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Manassas Anesthesia Associates PC Past Accepting new patients
Cumberland Anesthesia Associates P a Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

818 N Emporia St
Ste 108
Wichita, KS 67214
Phone 31626244674296

8200 W Central Ave
Ste 3
Wichita, KS 67212
Phone (316) 491-6300

9050 E 29th St N
Wichita, KS 67226
Phone (316) 722-6260

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750

3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393

1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8501 Arlington Blvd
Ste 500
Fairfax, VA 22031
Phone (703) 876-0734

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1115 Boulders Pkwy
Ste 210
North Chesterfield, VA 23225
Phone (804) 672-4040

1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700

14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone (703) 688-4099

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1174569263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 SEGO LILY CT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "703-919-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FARRELL RD",
            "address_2": "DEWITT ARMY COMMUNITY HOSPITAL",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605901",
            "telephone_number": "703-805-0342",
            "fax_number": "703-805-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "VINCENT",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "MSN-CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024164349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.