MEDICARE: BRANDON E. BOGGS, M.D. INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	A77822	CA

General Provider Information

NPI Number	:	1881106573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANDON E. BOGGS, M.D. INC.

Provider Business Mailing Address
First Line	:	3178 COLLINS DR STE B
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-3155
Country	:	US
Telephone Number	:	209-233-9038
Fax Number	:	209-580-4741

Provider Business Practice Location Address
First Line	:	3178 COLLINS DR STE B
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-3155
Country	:	US
Telephone Number	:	209-233-9038
Fax Number	:	209-580-4741

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRANDON EDWARD BOGGS
Credential	:	MD
Telephone Number	:	209-233-9038

Provider Enumeration Date	:	11/02/2017
Last Update Date	:	11/07/2025

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