Individual provider Active NPI

Christian Bogner, M.D.

  • Integrative Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1396956504
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
4301088555 Issued in MI
Practice address
43313 Woodward Ave # 1105
Bloomfield Hills, MI 48302-5007
Phone
(248) 931-8811
Fax
(866) 465-1916
NPI assigned
May 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 4301088555 MI
Integrative Medicine Physician 202D00000X 4301088555 MI Primary

Addresses

Primary practice location

43313 Woodward Ave # 1105
Bloomfield Hills, MI 48302-5007

Mailing address

43313 Woodward Ave # 1105
Bloomfield Hills, MI 48302-5007
Phone (248) 931-8811

Other identifiers 1

IdentifierTypeStateIssuer
1396956504MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100812000183 MI Practitioner - Obstetrics/Gynecology 4284768359

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation PastSince May 4, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1396956504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43313 WOODWARD AVE # 1105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025007",
            "telephone_number": "248-931-8811",
            "fax_number": "866-465-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43313 WOODWARD AVE # 1105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025007",
            "telephone_number": "248-931-8811",
            "fax_number": "866-465-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGNER",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-28",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "4301088555",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "MI",
            "license": "4301088555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396956504",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.