| Dr Brandon Coy Bogle, PHD | |
|
100 5th St Ste 310, Bristol, TN 37620-5919 | |
| (865) 588-3173 | |
| Not Available |
| Full Name | Dr Brandon Coy Bogle |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 14 Years |
| Location | 100 5th St Ste 310, Bristol, Tennessee |
| 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 |
|---|---|---|---|
| 1699082479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004813 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3789 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthy Mind Counseling Services, Inc | 8325093081 | 120 |
| Entity Name | Healthy Mind Counseling Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457409898 PECOS PAC ID: 8325093081 Enrollment ID: O20070827000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon Coy Bogle, PHD 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: Not Available | Dr Brandon Coy Bogle, PHD 100 5th St Ste 310, Bristol, TN 37620-5919 Ph: (865) 588-3173 |
Alexander Melkonian, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 540-272-9242 |
Jessica Erin King, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 245 Midway Medical Park, Bristol, TN 37620 Phone: 423-652-0260 |
Evelyn C Kemp, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 423-989-4050 Fax: 423-990-3044 |
Dr. Kristie J Nies, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3183 W State St Ste 1201, Bristol, TN 37620 Phone: 423-764-0987 |
Timothy A Urbin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 Medical Park Blvd, Bristol, TN 37620 Phone: 423-989-4050 Fax: 423-990-3044 |
Amanda Harville Mcgrady, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Walnut Circle, Bristol, TN 37620 Phone: 423-367-0040 |
Mr. Bridges Wade Smith Iii, MS, LSPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1241 Volunteer Pkwy, Suite 436, Bristol, TN 37620 Phone: 423-990-2315 Fax: 423-990-2316 |