Mark D. Bogar, MD, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

L3246 Issued in TX

Legal business name

MARK D. BOGAR, MD, PA

Practice address

4321 Brownfield Rd
Lubbock, TX 79407-2504

Phone

(512) 363-5779

Fax

(512) 292-4458

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Morgan B Krull, MSHP-HA

Title

Medical Office Management

Phone

(512) 363-5779

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark D Bogar, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
  • NPI 1235100462
  Medicare reassignment NPD

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1568662914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 BROWNFIELD RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072504",
            "telephone_number": "512-363-5779",
            "fax_number": "512-292-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 BROWNFIELD RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072504",
            "telephone_number": "512-363-5779",
            "fax_number": "512-292-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. BOGAR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "KRULL",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL OFFICE MANAGEMENT",
        "authorized_official_telephone_number": "512-363-5779",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSHP-HA"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L3246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cecilia Mitchell (Adaptive Medical Solutions)
• Marie D Percy MD PA (Charles Medical Clinic)
• Blanca Marin, OTR, MOT
• Luisa Marin, MD
• Mark a. Barinque, DPM,PA (Plains Podiatry Associates)
• Marla's Community Living Services, LLC
• Danielle Ann Marquez, FNP-C
• Joahnna Marquez
• Chasidy Marquis, FNP
• Christopher Marrs

• Physical Medicine & Rehabilitation Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.