Individual provider Active NPI

Robert Bogue, D.C.

  • Chiropractor
  • Merced, CA
National Provider Identifier
1427066497
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20919 Issued in CA
Practice address
104 W Alexander Ave
Merced, CA 95348
Phone
(209) 261-2865
Fax
(209) 384-9543
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20919 CA Primary

Addresses

Primary practice location

104 W Alexander Ave
Merced, CA 95348

Mailing address

104 W Alexander Ave
Merced, CA 95348
Phone (209) 261-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130201000056 CA Practitioner - Chiropractic 1456505221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Oct 26, 2022 Accepting new patients
Golden Valley Health Centers CurrentSince Oct 26, 2022 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Castle Family Health Centers Inc. Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Interoperability endpoints

  • Direct secure messaging: robert.bogue.p1@direct.castle.nextgenshare.com

Organizations & group practices 4

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1427066497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W ALEXANDER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95348",
            "telephone_number": "209-261-2865",
            "fax_number": "209-384-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W ALEXANDER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95348",
            "telephone_number": "209-261-2865",
            "fax_number": "209-384-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.