NPIMap

Organization Active NPI

Dr Marta Bognar PC

  • Rheumatology Physician
  • Gainesville, GA
National Provider Identifier
1598873754
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
040320 Issued in GA
Legal business name
DR MARTA BOGNAR PC
Practice address
961 Smoky Mountain Springs Lane NE
Suite a
Gainesville, GA 30501-2439
Phone
(770) 531-3711
Fax
(770) 531-3718
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Marta T Bognar, M.D.NPI 1336102425
Title
Owner
Phone
(770) 531-3711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 040320 GA Primary

Addresses

Primary practice location

961 Smoky Mountain Springs Lane NE
Suite a
Gainesville, GA 30501-2439

Mailing address

961 Smoky Mountain Springs Lane NE
Suite a
Gainesville, GA 30501-2439
Phone (770) 531-3711

Other identifiers 1

IdentifierTypeStateIssuer
00753849DMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1598873754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 SMOKY MOUNTAIN SPRINGS LANE NE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012439",
            "telephone_number": "770-531-3711",
            "fax_number": "770-531-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SMOKY MOUNTAIN SPRINGS LANE NE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012439",
            "telephone_number": "770-531-3711",
            "fax_number": "770-531-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARTA BOGNAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "BOGNAR",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-531-3711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "040320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00753849D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.