Paul George Bogosian, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC002358L Issued in PA

Practice address

7715 Whitaker Ave
Philadelphia, PA 19111-2854

Phone

(215) 342-2225

Fax

(215) 342-3232

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356321145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 ANITA DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112807",
            "telephone_number": "215-342-2225",
            "fax_number": "215-342-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 WHITAKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112854",
            "telephone_number": "215-342-2225",
            "fax_number": "215-342-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOSIAN",
        "first_name": "PAUL",
        "middle_name": "GEORGE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002358L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0905356",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  TRADITIONAL",
            "identifier": "4338939",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "088735",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0061021000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "94051",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Yeatorma Boggs, DMFT, DHA, LCSW
• Stephen Bogh, M.D.
• Shaaron Bogle
• Hillary R Bogner, MD
• Sayah Bogor, MD
• Alfred R. Bogucki, M.D.
• Michael Joseph Bogucki, PA
• Emily Bogush, MS
• Alexander Boguslavsky
• Mark Boguslavsky, MD

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.