Boggs, Brandon Edward

Boggs, Brandon Edward is an individual health care provider with primary practice located at 3178 Collins Dr Ste B, Merced CA 95348-3155. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Boggs, Brandon Edward can be contacted via phone (209) 233-9038.

Contact Information

Primary practice address
3178 Collins Dr Ste B Merced CA 95348-3155
Phone: (209) 233-9038
Fax: (209) 580-4741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X A77822 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A77822 California

Profile Details

NPI number 1386655520
LBN Legal business name Boggs, Brandon Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386655520 NPPES
California MEDICAID 00A778220

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