| Brandon Bogard, APRN | |
|
1840 S Washington Ave, Titusville, FL 32780-4716 | |
| (321) 360-5577 | |
| (321) 806-2087 |
| Full Name | Brandon Bogard |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1840 S Washington Ave, Titusville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114665148 | NPI | - | NPPES |
| PG869 | Other | FL | MEDICARE HF |
| 114654100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11016143 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medfast Urgent Care Centers Llc | 1052418837 | 64 |
| Brevard Physician Associates Pllc | 1850535048 | 204 |
| Entity Name | Medfast Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285735605 PECOS PAC ID: 1052418837 Enrollment ID: O20070514000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Bogard, APRN 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 868-7272 | Brandon Bogard, APRN 1840 S Washington Ave, Titusville, FL 32780-4716 Ph: (321) 360-5577 |
Nikolaos Koukos, ARNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3045 Columbia Blvd Ste 108a, Titusville, FL 32780 Phone: 321-264-9176 | |
Kylie Burket, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Cheney Hwy, Titusville, FL 32780 Phone: 321-567-4237 | |
Rebecca J Human, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Knox Mcrae Dr, Titusville, FL 32780 Phone: 321-269-2028 Fax: 321-264-0730 | |
Debra Allen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Dairy Rd, Titusville, FL 32796 Phone: 321-269-6530 Fax: 321-269-2334 | |
Kylie Woodhouse, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1785 Garden St, Titusville, FL 32796 Phone: 321-269-9612 Fax: 321-269-8433 | |
Rebecca Fobes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Century Medical Dr, Titusville, FL 32796 Phone: 321-383-9393 Fax: 321-268-6237 | |
Dawn Michele Hillebrandt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Harrison Street, Parrish Medical Group, Titusville, FL 32780 Phone: 321-268-6868 Fax: 321-267-2713 |