Izaiah Bogs

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

4610410 Issued in TX

Practice address

1333 W Washington St
Stephenville, TX 76401-4168

Phone

(254) 968-9000

NPI assigned

Jul 2, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1417874264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12326 FRANCO LANE",
            "city": "KNICKERBOCKER",
            "state": "TX",
            "postal_code": "76939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764014168",
            "telephone_number": "254-968-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10850 Texan Rider Dr",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "TX",
            "postal_code": "760369414",
            "country_code": "US",
            "telephone_number": "817-732-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGS",
        "first_name": "IZAIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "4610410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bierman, PT
• Allyson Black
• Robert Mark Blackburn, PT
• Blakeley Enterprise Inc.
• Melissa Lynne Blue, FNP
• Hayley Booker
• David Boucher, MD
• Kara Bourland, RDN
• D'Aun Chrie Bowers, PA
• Molly Bowles, LCSW

• All providers in Stephenville, TX
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.