Bogdanovich, Michael Bruce
Bogdanovich, Michael Bruce is an individual health care provider with primary practice located at 500 W Whitestone Blvd Ste 100, Cedar Park TX 78613-2245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bogdanovich, Michael Bruce can be contacted via phone (512) 250-3900.Contact Information
Primary practice address
500 W Whitestone Blvd Ste 100
Cedar Park TX 78613-2245
Phone: (512) 250-3900
Fax: (512) 249-6232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H6779 | Texas |
Profile Details
| NPI number | 1386609048 |
|---|---|
| LBN Legal business name | Bogdanovich, Michael Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Feb 4th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386609048 | NPPES |
| Texas | Other | 8405KO | PTAN |
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