NPIMap

Individual provider Active NPI

Trina L Bogart

  • Emergency Medicine Physician
  • Loveland, CO
National Provider Identifier
1407888191
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
CDRH.0047176 Issued in CO
Practice address
2000 N. Boise Ave.
Loveland, CO 80538-7282
Phone
(970) 635-4071
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23629 AZ
Addiction Medicine (Internal Medicine) Physician 207RA0401X CDRH.0047176 CO
Emergency Medicine Physician 207P00000X CDRH.0047176 CO Primary

Addresses

Primary practice location

2000 N. Boise Ave.
Loveland, CO 80538-7282

Mailing address

P.O. Box 173817
Denver, CO 80217-8643
Phone (303) 306-7783

Other practice location 1

4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone (970) 494-4200

Other identifiers 1

IdentifierTypeStateIssuer
99723875MedicaidCO

Other names 1

  • Trina Bogart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090121000095 CO Practitioner - Emergency Medicine 6901709146 Reassigns benefits to 5 organizations
I20240912000705 IA Practitioner - Emergency Medicine 6901709146

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Creighton University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summitstone Health PartnersGroup PAC ID 4284527144, 116 clinicians

Practice addresses (Care Compare)

2260 W Trilby Rd
Fort Collins, CO 80526-9650
Phone (970) 494-4200

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23629AZMDEmergency Medicine Physician
11605MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summitstone Health Partners Current Accepting new patients
Relymd Virtual Health Ca, PC Emergency Medicine CurrentSince Oct 4, 2025 Accepting new patients
Summitstone Health Partners CurrentSince Sep 2, 2024 Accepting new patients
Summitstone Health Partners CurrentSince Sep 2, 2024 Accepting new patients
Relymd Virtual Health TX, PA Emergency Medicine CurrentSince Nov 19, 2025 Accepting new patients
Relymd Virtual Health Regional, PC Emergency Medicine CurrentSince Jun 22, 2025 Accepting new patients
Relymd Virtual Health Ga, LLC Emergency Medicine CurrentSince May 22, 2024 Accepting new patients
Summitstone Health Partners Past Accepting new patients
Longview Behavioral Health Past Accepting new patients
North Valley Emergency Specialists Emergency Medicine Past Accepting new patients
Longview Behavioral Health Past Accepting new patients
Summitstone Health Partners Past Accepting new patients
Longview Behavioral Health Past Accepting new patients
Longview Behavioral Health Past Accepting new patients
Team Physicians of Arizona PC Emergency Medicine Past Accepting new patients

Locations

4102 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 494-5728

4856 Innovation Dr
Fort Collins, CO 80525

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

Interoperability endpoints

  • Direct secure messaging: trina.bogart.1@14883.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1407888191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 173817",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802178643",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N. BOISE AVE.",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387282",
            "telephone_number": "970-635-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4856 Innovation Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805255539",
            "country_code": "US",
            "telephone_number": "970-494-4200",
            "fax_number": "844-270-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGART",
        "first_name": "TRINA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "23629",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CO",
            "license": "CDRH.0047176",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CDRH.0047176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99723875",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINA",
            "last_name": "BOGART",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.