NPIMap

Shawn D Bogle, MD

Individual provider Active NPI Family Medicine Physician · Yellville, AR

NPI 1497745830 · NPPES record last updated Nov 4, 2011

Key facts

NPI
1497745830
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
E2985 (AR)
Practice address
414 W Old Main St
Yellville, AR 72687-8284
Phone
(870) 449-4221
Fax
(870) 449-6777
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 24

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter County Regional Hospital Inc (57 clinicians)

Practice addresses (Care Compare)

414 W Old Main St
Baxter Regional Ahrens Clinic
Yellville, AR 72687-8284
Phone (870) 449-4221

Hospital & facility affiliations

  • Baxter Health Home Health Marion County Home health agency · Cotter, AR · CCN 047338
  • Centerwell Home Health Home health agency · Harrison, AR · CCN 047803
  • Elite Home Health Home health agency · Salem, AR · CCN 047115
  • Baxter Health Hospital · Mountain Home, AR · CCN 040027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070117000549 AR Practitioner - Family Practice 8426059437 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31952TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc Current
since Aug 11, 2008		 Accepting new patients
Baxter County Regional Hospital Inc Current Accepting new patients
Baxter County Regional Hospital, Inc Family Medicine Current
since May 23, 2023		 Accepting new patients
Baxter County Regional Hospital, Inc Family Medicine Current Accepting new patients
Baxter County Regional Hospital, Inc Family Medicine Current
since Aug 11, 2008		 Accepting new patients
Baxter County Regional Hospital Inc Current
since May 23, 2023		 Accepting new patients
Baxter County Regional Hospital, Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Decatur County General Hospital Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients

Locations

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

628 Hospital Dr
Ste E
Mountain Home, AR 72653
Phone (870) 424-4710

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

10 Medical Plz
Mountain Home, AR 72653
Phone (870) 424-3824

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: shawn.bogle@bhcawp.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2985 AR Yes

Addresses

Primary practice location

414 W Old Main St
Yellville, AR 72687-8284

Mailing address

414 W Old Main St
Yellville, AR 72687-8284
Phone (870) 449-4221

Other identifiers

IdentifierTypeStateIssuer
146282001MedicaidAR

Other providers in Yellville, AR

All providers in Yellville, AR · Family Medicine Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.