Brenda Bogard, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 25035 Issued in CA

Practice address

2834 Chillon Way
Laguna Beach, CA 92651-2013

Phone

(562) 544-4616

NPI assigned

Aug 12, 2009

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Management Services and Physical Therapy IncGroup PAC ID 8628004645, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pain Management Services and Physical Therapy Inc.

  • Physical Therapist
  • Merced, CA
  • NPI 1902153109
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1780816686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 CHILLON WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512013",
            "telephone_number": "562-544-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 CHILLON WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512013",
            "telephone_number": "562-544-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGARD",
        "first_name": "BRENDA",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 25035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Lee Bird, LCSW
• Becky E Black, RD
• Tessa Ann Blanchard
• Bluebird Pediatrics
• Nancy Sumire Boerner, M.D.
• Karen Ann Bohan, MFT
• Ginger Booker
• Rami Borno, DDS
• Jennifer Ann Bosch, PSY.D
• Michael George Bower, M.D.

• Physical Therapist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.