NPIMap

Individual provider Active NPI

Shawn D Bogle, MD

  • Family Medicine Physician
  • Yellville, AR
National Provider Identifier
1497745830
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2985 Issued in 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
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31952TNMDFamily Nurse Practitioner

Practice roles

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

Locations

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

10 Medical Plz
Mountain Home, AR 72653
Phone (870) 219-0428

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

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

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

Interoperability endpoints

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

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1497745830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W OLD MAIN ST",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "726878284",
            "telephone_number": "870-449-4221",
            "fax_number": "870-449-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W OLD MAIN ST",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "726878284",
            "telephone_number": "870-449-4221",
            "fax_number": "870-449-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGLE",
        "first_name": "SHAWN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yellville, AR

Sources for this page

Verify at the official NPI Registry.