Individual provider Active NPI

Debra Anne Bogossian, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1437175064
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N8378 Issued in TX
Practice address
11880 Vista del Sol Dr
Suite B
El Paso, TX 79936-6128
Phone
(915) 857-6699
Fax
(915) 856-7268
NPI assigned
Jul 15, 2006
Last updated
Jun 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N8378 TX Primary

Addresses

Primary practice location

11880 Vista del Sol Dr
Suite B
El Paso, TX 79936-6128

Mailing address

11880 Vista del Sol Dr
Suite B
El Paso, TX 79936-6128
Phone (915) 857-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1437175064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 VISTA DEL SOL DR",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-857-6699",
            "fax_number": "915-856-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 VISTA DEL SOL DR",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-857-6699",
            "fax_number": "915-856-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOSSIAN",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N8378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.