Active NPI
Bognet Medical Associates, P.C.
- Family Medicine Physician
- Allentown, PA
National Provider Identifier
1366499410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS 009228L
- Legal business name
- BOGNET MEDICAL ASSOCIATES, P.C.
- Practice address
- 1275 S Cedar Crest Blvd
Suite #5
Allentown, PA 18103-6207 - Phone
- (610) 821-2820
- Fax
- (610) 821-2859
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Conrad Bognet, D.O.
- Title
- President
- Phone
- (610) 821-2820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS 009228L | PA | Primary |
Addresses
Primary practice location
1275 S Cedar Crest Blvd
Suite #5
Allentown, PA 18103-6207
Mailing address
1275 S Cedar Crest Blvd
Suite #5
Allentown, PA 18103-6207
Phone (610) 821-2820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487888 | Other | PA | HIGHMARK BLUE SHIELD |
| 02699100 | Other | PA | CAPITAL BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
1275 S Cedar Crest Blvd
Ste 5
Allentown, PA 18103
Phone (610) 821-2820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587513600000",
"number": "1366499410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 S CEDAR CREST BLVD",
"address_2": "SUITE #5",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036207",
"telephone_number": "610-821-2820",
"fax_number": "610-821-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 S CEDAR CREST BLVD",
"address_2": "SUITE #5",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036207",
"telephone_number": "610-821-2820",
"fax_number": "610-821-2859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOGNET MEDICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A",
"authorized_official_last_name": "BOGNET",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "CONRAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-821-2820",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS 009228L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "0487888",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02699100",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.