Michael Eugene Bogard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2223 Issued in TN

Practice address

77 East Lake St
Camden, TN 38320

Phone

(731) 584-0942

Fax

(731) 584-0942

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Valley Physical Therapy

  • Physical Therapy Clinic/Center
  • Camden, TN
  • NPI 1891093738
  Medicare reassignment
• Humphreys County Board of Education

  • Local Education Agency (LEA)
  • Waverly, TN
  • NPI 1376955401
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801968854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "38320",
            "telephone_number": "731-584-0942",
            "fax_number": "731-584-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 EAST LAKE ST",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "38320",
            "telephone_number": "731-584-0942",
            "fax_number": "731-584-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGARD",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaba TN LLC
• Benton County Developmental Services, Inc. (Cornerstone)
• Ken D. Berry, M.D.
• Big Rock Eye Care PLLC
• Shelly Denise Birdwell, PTA
• Susan Brewer
• Daniel Patrick Brown, PA-C
• Jordan Brown, M.S., CCC/SLP
• Jacqueline Rosenjack Burchum, DNSC, APRN, BC
• Camden Eye Care Associates

• Physical Therapist in Camden, TN
• Providers in Camden, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.