Individual provider Active NPI

Gregory Neil Boger, MD

  • Otolaryngology Physician
  • Winter Park, FL
National Provider Identifier
1255309928
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME83581 Issued in FL
Practice address
2828 Casa Aloma Way
Winter Park, FL 32792-2223
Phone
(407) 937-1031
Fax
(407) 678-0627
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME83581 FL Primary

Addresses

Primary practice location

2828 Casa Aloma Way
Winter Park, FL 32792-2223

Mailing address

2828 Casa Aloma Way
Winter Park, FL 32792-2272
Phone (407) 937-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100212000603 FL Practitioner - Otolaryngology 6406990548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albany Medical College of Union University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

1601 Park Ctr Dr
Suite 11
Orlando, FL 32835-5700
Phone (407) 937-1031

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2350
Phone (561) 391-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83581FLMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Otolaryngology Group, P.a. Otolaryngology CurrentSince Nov 1, 2001 Accepting new patients
ENT and Allergy Associates of Florida, LLC Otolaryngology CurrentSince Oct 1, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 9, 2013 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 9, 2013 Accepting new patients

Locations

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1601 Park Center Dr
Ste 9
Orlando, FL 32835
Phone (407) 299-3160

1781 Park Center Dr
Ste 210
Orlando, FL 32835
Phone (407) 351-0675

100 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7251 University Blvd
Ste 300
Winter Park, FL 32792
Phone (407) 677-0099

2828 Casa Aloma Way
Ste 300
Winter Park, FL 32792
Phone (407) 628-0197

Interoperability endpoints

  • Direct secure messaging: entsinusorlando@entascoop-fl.direct.office.nextgen.com
  • Direct secure messaging: gboger@entaaf.emadirect.md

Organizations & group practices 4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255309928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CASA ALOMA WAY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922272",
            "telephone_number": "407-937-1031",
            "fax_number": "407-678-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CASA ALOMA WAY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922223",
            "telephone_number": "407-937-1031",
            "fax_number": "407-678-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGER",
        "first_name": "GREGORY",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME83581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.