| Brandon E. Boggs, M.d. Inc. | |
|
388 E Yosemite Ave Ste 200 Merced CA 95340-8219 | |
| (209) 233-9038 | |
| (209) 580-4741 |
| Full Name | Brandon E. Boggs, M.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 388 E Yosemite Ave Ste 200, Merced, California |
| Authorized Official Name and Position | Brandon Edward Boggs (PRESIDENT) |
| Authorized Official Contact | 2092339038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon E. Boggs, M.d. Inc. 388 E Yosemite Ave Ste 200 Merced CA 95340-8219 Ph: (209) 233-9038 | Brandon E. Boggs, M.d. Inc. 388 E Yosemite Ave Ste 200 Merced CA 95340-8219 Ph: (209) 233-9038 |
| NPI Number | 1881106573 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Medicare PECOS PAC ID | 0941687222 |
|---|---|
| Medicare Enrollment ID | O20220509000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881106573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A77822 (California) | Primary |
| Provider Name | Brandon E Boggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386655520 PECOS PAC ID: 0749266120 Enrollment ID: I20040625001162 |
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