Individual provider Active NPI

Arthur Chester Ogborn Jr., MD

  • Pediatric Pulmonology Physician
  • Brownsville, TX
National Provider Identifier
1508031956
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
MD61232104 Issued in WA
Practice address
844 Central Blvd Ste 420
Brownsville, TX 78520-7535
Phone
(956) 542-9900
Fax
(956) 574-0003
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X MED-PHYS-LIC-99537 MT
Pediatric Pulmonology Physician 2080P0214X Q0527 TX
General Practice Physician 208D00000X MED-PHYS-LIC-99537 MT
General Practice Physician 208D00000X Q0527 TX
Pediatric Pulmonology Physician 2080P0214X MD61232104 WA Primary

Addresses

Primary practice location

844 Central Blvd Ste 420
Brownsville, TX 78520-7535

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 474-3568

Other practice location 1

510 Victoria Ln Ste 1
Harlingen, TX 78550-3231
Phone (956) 428-7862

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cogborn308205@balladhealth.medalliesdirect.net Direct BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20041101000586 TN Practitioner - Pediatric Medicine 9739141813 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61232104WAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Nov 2, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Pediatric Pulmonology CurrentSince Nov 2, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Nov 2, 2022 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 2, 2022 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc Family Medicine Current Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

408 N State of Franklin Rd
Ste 31G
Johnson City, TN 37604
Phone (423) 431-4946

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Interoperability endpoints

  • Direct secure messaging: cogborn308205@balladhealth.medalliesdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1508031956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "509-474-3568",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 CENTRAL BLVD STE 420",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207535",
            "telephone_number": "956-542-9900",
            "fax_number": "956-574-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Victoria Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785503231",
            "country_code": "US",
            "telephone_number": "956-428-7862",
            "fax_number": "956-440-0395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBORN",
        "first_name": "ARTHUR",
        "middle_name": "CHESTER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "MT",
            "license": "MED-PHYS-LIC-99537",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TX",
            "license": "Q0527",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "MED-PHYS-LIC-99537",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q0527",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "WA",
            "license": "MD61232104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cogborn308205@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "BLUE RIDGE MEDICAL MANAGEMENT CORPORATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "408 N State Of Franklin Rd Ste 31G",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.