Individual provider Active NPI

Robert Kent Bogle, MD

  • General Practice Physician
  • Holiday, FL
National Provider Identifier
1356676845
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME106943 Issued in FL
Practice address
2404 US Highway 19
Holiday, FL 34691-3943
Phone
(727) 945-0100
NPI assigned
Oct 16, 2009
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME106943 FL Primary

Addresses

Primary practice location

2404 US Highway 19
Holiday, FL 34691-3943

Mailing address

302 N 19TH St
Lamesa, TX 79331-2606

Other practice location 1

34621 US Highway 19 N
Palm Harbor, FL 34684-2152
Phone (727) 953-9888

Other practice location 2

13256 Sr 54
Odessa, FL 33556-3483
Phone (813) 920-0023

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101117000643 FL Practitioner - General PracticePractitioner - General Surgery 9335282896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1036 Dunn Ave
Suite 10
Jacksonville, FL 32218-6364
Phone (904) 903-5520

1105 53Rd Ave E
Bradenton, FL 34203-4897
Phone (941) 755-2568

1400 E Bay Dr
Largo, FL 33771-1013
Phone (727) 586-0047

934 Oakfield Dr
Brandon, FL 33511-4950
Phone (813) 242-5641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106943FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Sep 2, 2025 Accepting new patients
American Current Care P.a. CurrentSince Sep 2, 2025 Accepting new patients
American Current Care PA Current Accepting new patients
MD Now Medical Centers Inc General Practice PastSince Oct 1, 2019 Accepting new patients
Doctor on Call, LLC Past Accepting new patients
Unique Management Group PastSince Jun 6, 2018 Accepting new patients

Locations

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1356676845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 19TH ST",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793312606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913943",
            "telephone_number": "727-945-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34621 US Highway 19 N",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346842152",
            "country_code": "US",
            "telephone_number": "727-953-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13256 SR 54",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335563483",
            "country_code": "US",
            "telephone_number": "813-920-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "ROBERT",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME106943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.