MEDICARE: DR. DAVID STEWART 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	18543	OK
2	207RP1001X	Pulmonary Disease Physician	18543	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	:	1982656385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID STEWART BOGGS M.D.

Provider Business Mailing Address
First Line	:	4334 NW EXPRESSWAY
Second Line	:	SUITE 214
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1578
Country	:	US
Telephone Number	:	405-753-6200
Fax Number	:	405-753-6090

Provider Business Practice Location Address
First Line	:	4334 NW EXPRESSWAY
Second Line	:	SUITE 214
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1578
Country	:	US
Telephone Number	:	405-753-6200
Fax Number	:	405-753-6090

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	09/08/2016

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