Michael a. Bogdan, MD, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

M6055 Issued in TX

Legal business name

MICHAEL A. BOGDAN, MD, PLLC

Practice address

410 N Carroll Ave
Suite 170
Southlake, TX 76092-6455

Phone

(817) 442-1236

Fax

(817) 442-1247

NPI assigned

Dec 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Andrew Bogdan, M.D.NPI 1881629103

Title

President

Phone

(817) 442-1236

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Bogdan, MD, FACS

  • Plastic Surgery Physician
  • Southlake, TX
  • NPI 1881629103
  NPD (past) Authorized official

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1831335702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N CARROLL AVE",
            "address_2": "SUITE 170",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926455",
            "telephone_number": "817-442-1236",
            "fax_number": "817-442-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N CARROLL AVE",
            "address_2": "SUITE 170",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926455",
            "telephone_number": "817-442-1236",
            "fax_number": "817-442-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. BOGDAN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-442-1236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metx, LLC
• Rebeca F Meyer, LPC
• MHR Eye Association, P.a.
• MHR Eye Association, PC
• Mhya Clinic PLLC
• Michael D. Bryan, MD
• Dee Michel, O.D.
• Midtown Medical Imaging - Southlake, LLC
• Mihills Home Visits PLLC
• Emad Mikhail, RPH

• Plastic Surgery Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.