| 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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