Organization Active NPI

Sharon a Bogerty MD Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Jose, CA
National Provider Identifier
1942797378
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G27618 Issued in CA
Legal business name
SHARON A BOGERTY MD INC
Practice address
105 N Bascom Ave Ste 101B
San Jose, CA 95128-1811
Phone
(408) 971-4997
Fax
(408) 971-4998
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Sharon A Bogerty, MD
Title
President
Phone
(408) 971-4994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X G27618 CA Primary

Addresses

Primary practice location

105 N Bascom Ave Ste 101B
San Jose, CA 95128-1811

Mailing address

105 N Bascom Ave Ste 101B
San Jose, CA 95128-1811
Phone (408) 971-4997

National Provider Directory

National Provider Directory

Locations

105 N Bascom Ave
Ste 101B
San Jose, CA 95128
Phone (408) 971-4994

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1942797378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE STE 101B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-971-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE STE 101B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-971-4997",
            "fax_number": "408-971-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON A BOGERTY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "BOGERTY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-971-4994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G27618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.