Active NPI
Matthew Dennis Bogard, M.D.
- Emergency Medicine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 26236
- Practice address
- 983075 Nebraska Medical Ctr
Omaha, NE 68198-3075 - Phone
- (402) 559-7200
- NPI assigned
- May 12, 2010
- Last updated
- Jan 7, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 40195 | IA | |
| Emergency Medicine Physician | 207P00000X | 26236 | NE | Primary |
| Family Medicine Physician | 207Q00000X | 6219 | NE |
Addresses
Primary practice location
983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Mailing address
9609 N 29TH St
Omaha, NE 68112-1523
Phone (402) 690-6604
Other practice location 1
631 N 8th St
Missouri Valley, IA 51555-1102
Phone (712) 624-9278
Other practice location 2
2727 S 144th St
Omaha, NE 68144-5225
Phone (402) 609-1500
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40195 | IA | MD | Emergency Medicine Physician |
| 6219 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Orthowest LLC | Past | Accepting new patients |
Locations
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
Organizations & group practices 2
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.
-
dba Iowa Spine Care
- Orthopaedic Surgery Physician
- Spencer, IA
- NPI 1316432826
-
dba OrthoNebraska Clinics
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1073323606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1225356470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9609 N 29TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681121523",
"telephone_number": "402-690-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983075 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681983075",
"telephone_number": "402-559-7200"
}
],
"practiceLocations": [
{
"address_1": "631 N 8th St",
"address_purpose": "LOCATION",
"city": "Missouri Valley",
"state": "IA",
"postal_code": "515551102",
"country_code": "US",
"telephone_number": "712-624-9278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2727 S 144th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681445225",
"country_code": "US",
"telephone_number": "402-609-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGARD",
"first_name": "MATTHEW",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "40195",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "26236",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "6219",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.