Gezahgne T Bogale

Primary specialty

DriverTaxonomy code 172A00000X

License

324512222 Issued in TX

Practice address

1908 Huxley LN
Round Rock, TX 78664

Phone

(512) 743-2390

NPI assigned

Sep 29, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396254694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 HUXLEY LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647418",
            "telephone_number": "512-743-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 HUXLEY LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-743-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGALE",
        "first_name": "GEZAHGNE",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "320005200",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "324512222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajeswari K Bodapati, M.D.
• Satish K Boddhula, MD
• Austin F Boehm, DMD
• Angela Michelle Boerger, DC
• Jeffrey Grant Boerger, DC
• Natalie Anne Bogue, APRN
• Adam Bohuslav, PHARMD
• Karina Weekes Bolger, CD(DONA)
• Bolin Counseling Services PLLC
• Mark Bolin, LPC

• Driver in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.