Organization Active NPI

Bognet Medical Associates, P.C.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1366499410
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 009228L Issued in PA
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

Updated by the provider on Apr 22, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0487888OtherPAHIGHMARK BLUE SHIELD
02699100OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.