Moira U Bogrov, M.D.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

D0037121 Issued in MD

Practice address

2401 W Belvedere Ave
Dept of Psychiatry
Baltimore, MD 21215-5216

Phone

(410) 601-5355

Fax

(410) 601-6302

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University of Maryland Psychiatry Associates, PA

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1649292699
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1649233073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "DEPT OF CREDENTIALING",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5524",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5355",
            "fax_number": "410-601-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGROV",
        "first_name": "MOIRA",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0037121",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MD",
            "license": "D0037121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Lee Boggs, CRFP
• Cassie Leanne Boggs, MD
• Douglas Lee Boggs, B.S., PHARM.D.
• Kacie Boggs
• Carmel Bogle, M.D.
• Brenna Elizabeth Bohan
• Jill Haak Bohnenkamp, PH.D.
• Daniel Bohorquez
• Frank Bohrer
• Jenna Bohrer, DPT

• Addiction Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Addiction Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.