Brian Thomas Bogdanowicz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME110715 Issued in FL

Practice address

303 No. Clyde Morris Blvd.
Halifax Health Medical Center & Community Clinic
Daytona Beach, FL 32114-2709

Phone

(386) 425-6198

Fax

(386) 425-6197

NPI assigned

May 31, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Tennessee, HSC, College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Primary Care and Sports Medicine, Inc.Group PAC ID 3476989641, 2 clinicians

Mediquick Urgent Care Centers IncGroup PAC ID 3577542000, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
• Accentcare Home Health of Daytona Home health agency, Ormond Beach, FL, CCN 108284
• Adventhealth Home Health Home health agency, Ormond Beach, FL, CCN 107408
• AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
• Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Florida Primary Care and Sports Medicine, Inc.

  • Family Medicine Physician
  • Palm Coast, FL
  • NPI 1548819741
  Medicare reassignment Care Compare group NPD
• Mediquick Urgent Care Centers Inc

  • Urgent Care Clinic/Center
  • Palm Coast, FL
  • NPI 1053363036
  Medicare reassignment Care Compare group NPD
• Halifax Healthcare Systems Inc

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Home Health and Hospice Inc

  • Home Health Agency
  • Ormond Beach, FL
  • NPI 1134161318
  Care Compare affiliation
• Adventhealth Palm Coast Parkway Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1861102345
  Care Compare affiliation
• Altercare LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1871529347
  Care Compare affiliation
• Halifax Health Services, LLC.

  • Home Health Agency
  • Ormond Beach, FL
  • NPI 1013081215
  Care Compare affiliation
• Memorial Hospital Flagler Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1679678486
  Care Compare affiliation

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1265751267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864074",
            "address_2": "HALIFAX HEALTHCARE SYSTEMS, INC.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864074",
            "telephone_number": "386-226-4590",
            "fax_number": "386-226-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NO. CLYDE MORRIS BLVD.",
            "address_2": "HALIFAX HEALTH MEDICAL CENTER & COMMUNITY CLINIC",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-425-6198",
            "fax_number": "386-425-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOWICZ",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-31",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN15063",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME110715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ocean Deramtology LLC
• Nicole R Blue, LMHC
• David H Boardman, RPH
• Jessica Bode
• Suzana Bogdanovska, D.O,
• Kimberly Sue Boggs-Dunne, RNFA,BSN,CNOR
• Yana Petrovna Bogoslov
• Courtney Bogunovic, DPM
• Carla Bohnstedt
• Deanna Boicourt, RN

• Family Medicine Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.