MEDICARE: BRANDON EDWARD BOGGS MD

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	207P00000X	Emergency Medicine Physician	A77822	CA
2	207Q00000X	Family Medicine Physician	A77822	CA

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

General Provider Information

NPI Number	:	1386655520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON EDWARD BOGGS MD

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

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	02/10/2026

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