Brandon Bogard, APRN | |
1840 S Washington Ave, Titusville, FL 32780-4716 | |
(321) 360-5577 | |
(321) 806-2087 |
Full Name | Brandon Bogard |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1840 S Washington Ave, Titusville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
Entity Name | Medfast Urgent Care Centers Llc |
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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 |
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: 951 N Washington Ave, Titusville, FL 32796 Phone: 321-268-6111 | |
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 | |
Mrs. Janette Marie Robinson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5510 Bent Oak Dr, Titusville, FL 32780 Phone: 321-961-5162 | |
Mario J Barone, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 N Washington Ave, Titusville, FL 32796 Phone: 321-268-5008 Fax: 321-607-6690 |