MEDICARE: BRIAN R 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	2086X0206X	Surgical Oncology Physician	13955	OK
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	13955	OK
3	208600000X	Surgery Physician	13955	OK

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	:	1487629556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN R BOGGS MD

Provider Business Mailing Address
First Line	:	4401 W MEMORIAL RD
Second Line	:	140
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1785
Country	:	US
Telephone Number	:	405-752-3162
Fax Number	:	405-936-5211

Provider Business Practice Location Address
First Line	:	4200 W MEMORIAL RD
Second Line	:	SUITE 610
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-9350
Country	:	US
Telephone Number	:	405-749-7023
Fax Number	:	405-749-7024

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	04/20/2016

Similar Medicare Providers

1780688150 — DR. AVANI SHETH MD
Practice Location Address:

4200 W MEMORIAL RD , STE 305
OKLAHOMA CITY, OK
73120-9350

Practice Phone: 405-841-7899
Practice Fax: 405-749-9779

1225020282 — DIANNE BREWER GASBARRA MD
Practice Location Address:

4200 W MEMORIAL RD , STE 405
OKLAHOMA CITY, OK
73120-9350

Practice Phone: 405-292-5500
Practice Fax: 405-292-5505

1093701658 — DR. ROBERT M GORDON M.D.
Practice Location Address:

4200 W MEMORIAL RD , SUITE 805
OKLAHOMA CITY, OK
73120-9350

Practice Phone: 405-286-5946
Practice Fax: 888-990-1791

1376522789 — ALI S ZAZA
Practice Location Address:

4200 W MEMORIAL RD , SUITE 303
OKLAHOMA CITY, OK
73120-9350

Practice Phone: 405-936-9966
Practice Fax: 405-756-3341

1306808928 — MARTHA M TARPAY MD
Practice Location Address:

4200 W MEMORIAL RD , SUITE 206
OKLAHOMA CITY, OK
73120-9350

Practice Phone: 405-752-0393
Practice Fax: 405-752-4242

1598720013 — DR. AMIT P SAHA M.D.
Practice Location Address:

4200 W MEMORIAL RD , STE 909
OKLAHOMA CITY, OK
73120-9350

Practice Phone: 405-749-4201
Practice Fax: 405-749-4208

Directions to “ BRIAN R BOGGS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.