William Charles Bogar, DC DACBR

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

038005260 Issued in IL

Practice address

1618 Sunset Road
Suite a
Geneva, IL 60134

Phone

(630) 208-0346

Fax

(630) 208-0346

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: william.bogar.1@11209.direct.athenahealth.com

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1811077662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-208-0346",
            "fax_number": "630-208-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 SUNSET ROAD",
            "address_2": "SUITE A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-208-0346",
            "fax_number": "630-208-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAR",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC DACBR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "IL",
            "license": "038005260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ILLINOIS",
            "identifier": "04525569",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Chiropractor in Geneva, IL
• Providers in Geneva, IL by specialty
• Radiology Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.