Individual provider Active NPI

Kent A Bogner, DO

  • Family Medicine Physician
  • Belton, MO
National Provider Identifier
1295720340
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO 103426 Issued in MO
Practice address
17067 S Outer Rd
Suite 100
Belton, MO 64012-2165
Phone
(816) 331-4000
Fax
(816) 331-3626
NPI assigned
Sep 14, 2005
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO 103426 MO Primary

Addresses

Primary practice location

17067 S Outer Rd
Suite 100
Belton, MO 64012-2165

Mailing address

17067 S Outer Rd
Suite 100
Belton, MO 64012-2165
Phone (816) 331-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KENT.BOGNER@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050509000969 MO Practitioner - Family Practice 5799725743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belton Family Practice Clinic LLCGroup PAC ID 5193717601, 7 clinicians

Practice addresses (Care Compare)

17067 S Outer Rd
Suite 100
Belton, MO 64012-2100
Phone (816) 331-4000

17067 S US Hwy 71
Suite 100
Belton, MO 64012-2100
Phone (816) 331-7744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.13 of 100Reported as group
Quality
93.44
Promoting interoperability
100
Improvement activities
40
Cost
73.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 103426MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belton Family Practice Clinic LLC Family Medicine CurrentSince May 12, 2012 Accepting new patients
Raymore Medical Group LLC Family Medicine Past Accepting new patients

Locations

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

17067 S US Highway 71
Ste 100
Belton, MO 64012
Phone (816) 331-4000

Interoperability endpoints

  • Direct secure messaging: kent.bogner@hca2.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1295720340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD",
            "address_2": "SUITE 100",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-331-4000",
            "fax_number": "816-331-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD",
            "address_2": "SUITE 100",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-331-4000",
            "fax_number": "816-331-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGNER",
        "first_name": "KENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DO 103426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KENT.BOGNER@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "17067 S Outer Rd",
            "address_2": "SUITE 100",
            "city": "Belton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640122165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.