Ginger Christina Bogan

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4774 Issued in FL

Practice address

1040 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-7809

Phone

(850) 516-7582

NPI assigned

Jun 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1740805902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 SOUNDPOINTE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633581",
            "telephone_number": "850-516-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617809",
            "telephone_number": "850-516-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAN",
        "first_name": "GINGER",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Rita Bertelli
• Bio-Medical Applications of Florida, Inc.
• Rusty Black
• Jennifer Lauren Blanks, MSN, APRN, FNP-BC
• John Travis Blaze, PH.D.
• Douglas E Boler, M.D.
• Joel Boles
• Joseph Scott Booker, DMD
• I. Marie Booth, D.C.
• Genei S Bougher, ARNP

• Athletic Trainer in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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.