Brian Robert Boggs, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME94032 Issued in FL

Practice address

701 W Cocoa Beach Cswy
Cape Canaveral Hospital Emergency Room
Cocoa Beach, FL 32931-3585

Phone

(321) 799-7150

Fax

(321) 868-7249

NPI assigned

Dec 2, 2005

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bboggs19727@epicdirect.hf.org

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

• Brevard Physician Associates, PLLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1598008955

  Emergency Medicine

  Medicare reassignment NPD
• Space Coast Emergency Physicians PLC

  • Emergency Medicine Physician
  • Cocoa Beach, FL
  • NPI 1508851569
  NPD (past)
• Wuesthoff Emergency Physicians PA

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1831192244
  NPD (past)
• Terrebonne Parish Hospital Service District #1

  dba Terrebonne General Medical Center

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1740248129
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447234463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W COCOA BEACH CSWY",
            "address_2": "CAPE CANAVERAL HOSPITAL EMERGENCY ROOM",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313585",
            "telephone_number": "321-799-7150",
            "fax_number": "321-868-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W COCOA BEACH CSWY",
            "address_2": "CAPE CANAVERAL HOSPITAL EMERGENCY ROOM",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313585",
            "telephone_number": "321-799-7150",
            "fax_number": "321-868-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME94032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28695",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Benedict
• Diane K Bergau, M.D.
• Shobha Bhide
• Denise Bilder, LCSW
• Noah K Birch, FNP-C
• Hassan Borghei, DO
• Aniela Jan Borowski, M.D.
• Brevard Pathology PA
• Brevard Pathology PA
• Ashley Briscoe, APRN

• Emergency Medicine Physician in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.