Individual provider Active NPI

Walter V Bogdan Jr., DC

  • Chiropractor
  • Richmond, VA
National Provider Identifier
1194797977
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
104001914 Issued in VA
Practice address
2008 Bremo Rd
Suite 111
Richmond, VA 23226-2443
Phone
(804) 288-1152
Fax
(804) 288-5211
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 104001914 VA Primary

Addresses

Primary practice location

2008 Bremo Rd
Suite 111
Richmond, VA 23226-2443

Mailing address

2008 Bremo Rd
Suite 111
Richmond, VA 23226-2443
Phone (804) 288-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000352 VA Practitioner - Chiropractic 9133124720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro One Wellness Center of Ashland LLCGroup PAC ID 1153860135, 2 clinicians

Practice addresses (Care Compare)

9535 Kings Charter Dr
Ashland, VA 23005-7939
Phone (804) 550-0780

9778 Gayton Rd
Henrico, VA 23238-4907
Phone (804) 750-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104001914VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Henrico LLC Chiropractor CurrentSince Sep 9, 2024 Accepting new patients
Chiro One Wellness Center of Ashland LLC Chiropractor CurrentSince May 27, 2025 Accepting new patients
Debarros Chiropractic Clinic Chiropractor Past Accepting new patients
Chiro One Wellness Center of Colonial Heights LLC Chiropractor PastSince Jul 21, 2024 Accepting new patients
Commonwealth Spine Care, LLC Chiropractor Past Accepting new patients
Spry Inside Family Medicine Past Accepting new patients
Chester Family Chiropractic Center P C Chiropractor PastSince Sep 4, 1991 Accepting new patients
Chiro One Wellness Center of Glen Allen LLC Chiropractor PastSince Jul 21, 2024 Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

9535 Kings Charter Dr
Ashland, VA 23005
Phone (804) 550-0780

9778 Gayton Rd
Richmond, VA 23238
Phone (804) 750-2400

Organizations & group practices 8

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1194797977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 BREMO RD",
            "address_2": "SUITE 111",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262443",
            "telephone_number": "804-288-1152",
            "fax_number": "804-288-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 BREMO RD",
            "address_2": "SUITE 111",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262443",
            "telephone_number": "804-288-1152",
            "fax_number": "804-288-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "WALTER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "104001914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.