Active NPI
Leon Jacob Bogartz, M.D.,
- Specialist
- Powell, TN
National Provider Identifier
1477583268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0000006741
- Practice address
- 7540 Dannaher LN
Ste. 300
Powell, TN 37849-4013 - Phone
- (865) 362-8524
- Fax
- (865) 545-3115
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0000006741 | TN | Primary |
Addresses
Primary practice location
7540 Dannaher LN
Ste. 300
Powell, TN 37849-4013
Mailing address
2 Woodstock CT
Hilton Head, SC 29928-3385
Phone (843) 842-7875
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000006741 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Associates of East Tennessee PLLC | Past | Accepting new patients | |
| Tranquility Sleep Specialists PLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Powell, TN
- NPI 1144401753
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Powell, TN
- NPI 1346543568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477583268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WOODSTOCK CT",
"city": "HILTON HEAD",
"state": "SC",
"postal_code": "299283385",
"telephone_number": "843-842-7875",
"fax_number": "843-842-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7540 DANNAHER LN",
"address_2": "STE. 300",
"city": "POWELL",
"state": "TN",
"postal_code": "378494013",
"telephone_number": "865-362-8524",
"fax_number": "865-545-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGARTZ",
"first_name": "LEON",
"middle_name": "JACOB",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "0000006741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.