MEDICARE: MICHAEL NATHAN BOGGS M.D.

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	2084P0800X	Psychiatry Physician	35.139038	OH
2	2084P0800X	Psychiatry Physician	042.0013127	VT
3	2084P0800X	Psychiatry Physician	18165	NH
4	2084P0800X	Psychiatry Physician	285598	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891038824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL NATHAN BOGGS M.D.

Provider Business Mailing Address
First Line	:	192 WILSON RD
Second Line	:
City	:	WILTON
State	:	NH
Zip	:	03086-5414
Country	:	US
Telephone Number	:	802-989-4546
Fax Number	:

Provider Business Practice Location Address
First Line	:	192 WILSON RD
Second Line	:
City	:	WILTON
State	:	NH
Zip	:	03086-5414
Country	:	US
Telephone Number	:	978-254-1913
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	02/16/2026

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Directions to “ MICHAEL NATHAN BOGGS M.D.” Practice Location

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