B O G Advanced Family Medical Management Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

B O G ADVANCED FAMILY MEDICAL MANAGEMENT INC

Doing business as

B O G Advanced Family Medical

Practice address

20127 Ivory Valley LN
Cypress, TX 77433-0030

Phone

(832) 812-9598

NPI assigned

Aug 21, 2020

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Yadira Ortiz-Gonzalez, FNPNPI 1962025866

Title

President

Phone

(832) 812-9598

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• B O G Advanced Family Medical Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara- Yadira Ortiz-Gonzalez, APRN,FNP-C

  • Family Nurse Practitioner
  • Cypress, TX
  • NPI 1962025866
  NPD (past) Authorized official
• Wendell Lawrence Seymour, APRN

  • Family Nurse Practitioner
  • Manvel, TX
  • NPI 1467071746
  NPD (past)

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1326650128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20127 IVORY VALLEY LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330030",
            "telephone_number": "832-812-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20127 IVORY VALLEY LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330030",
            "telephone_number": "832-812-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B O G ADVANCED FAMILY MEDICAL MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-GONZALEZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "YADIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-812-9598",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "AP146064",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bogadvancedfamilymm@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20127 Ivory Valley Ln",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774330030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "B O G Advanced Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Cypress, TX
• Providers in Cypress, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.