Boggs, Brian R

Boggs, Brian R is an individual health care provider with primary practice located at 4200 W Memorial Rd Suite 610, Oklahoma City OK 73120-9350. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Boggs, Brian R can be contacted via phone (405) 749-7023.

Contact Information

Primary practice address
4200 W Memorial Rd Suite 610 Oklahoma City OK 73120-9350
Phone: (405) 749-7023
Fax: (405) 749-7024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 13955 Oklahoma
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 13955 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X 13955 Oklahoma

Profile Details

NPI number 1487629556
LBN Legal business name Boggs, Brian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Apr 20th, 2016 - about 8 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 1487629556 NPPES
Oklahoma MEDICAID 100124430A

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