Active NPI
William M Bogey Jr., M.D.
- Vascular Surgery Physician
- Greenville, NC
National Provider Identifier
1316944705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 32640
- Practice address
- 115 Heart Dr
East Carolina Heart Institute @ Ecu Dept. of CVS
Greenville, NC 27834-8944 - Phone
- (252) 744-4400
- Fax
- (252) 744-3987
- NPI assigned
- Jun 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 32640 | NC | Primary |
Addresses
Primary practice location
115 Heart Dr
East Carolina Heart Institute @ Ecu Dept. of CVS
Greenville, NC 27834-8944
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3520
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770001435 | Other | NC | RAILROAD MEDICARE |
| 16427 | Other | NC | BCBS NC |
| 8916727 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32640 | NC | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1316944705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069",
"telephone_number": "252-744-3520",
"fax_number": "252-744-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HEART DR",
"address_2": "EAST CAROLINA HEART INSTITUTE @ ECU DEPT. OF CVS",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348944",
"telephone_number": "252-744-4400",
"fax_number": "252-744-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGEY",
"first_name": "WILLIAM",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "32640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "770001435",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "16427",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8916727",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.