Organization Active NPI

Brandon E. Boggs, M.D. Inc.

  • Primary Care Clinic/Center
  • Merced, CA
National Provider Identifier
1881106573
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A77822 Issued in CA
Legal business name
BRANDON E. BOGGS, M.D. INC.
Practice address
3178 Collins Dr Ste B
Merced, CA 95348-3155
Phone
(209) 233-9038
Fax
(209) 580-4741
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Brandon Edward Boggs, MDNPI 1386655520
Title
President
Phone
(209) 233-9038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A77822 CA Primary

Addresses

Primary practice location

3178 Collins Dr Ste B
Merced, CA 95348-3155

Mailing address

3178 Collins Dr Ste B
Merced, CA 95348-3155
Phone (209) 233-9038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220509000611 CA Part B Supplier - Clinic/Group Practice 0941687222 Receives reassigned benefits from 1 practitioner
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

3178 Collins Dr
Ste B
Merced, CA 95348
Phone (209) 233-9038

388 E Yosemite Ave
Ste 200
Merced, CA 95340
Phone (209) 725-9007

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1881106573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 COLLINS DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483155",
            "telephone_number": "209-233-9038",
            "fax_number": "209-580-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 COLLINS DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483155",
            "telephone_number": "209-233-9038",
            "fax_number": "209-580-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON E. BOGGS, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-233-9038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A77822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.