CAROLYN B BOGAL (NPI# 1184725038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184725038 |
| Entity Type | Individual |
| Full Name | CAROLYN B BOGAL |
| Credential | NP |
| Practice Address |
110 Liberty St Brockton MA 02301 |
| Mailing Address |
7 High St Medfield MA 02052-3120 |
| Practice Telephone | 5088940400 |
| Practice Fax Number | 5088940590 |
| Mailing Telephone | 5087281905 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN153493 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE | S400469060 | 01 |
| MA | 110020132A | 05 |
| Street Address |
110 LIBERTY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164416186 | Aqeel Siddiqui | Surgery | 110 Liberty St, Brockton, MA 02301-5521 | 2005-09-06 |
| 1902404981 | Sara Louise Borrello | Dietitian, Registered | 110 Liberty St, Brockton, MA 02301-5674 | 2020-10-13 |
| 1134735392 | Meredith Celine Harrington | Physical Medicine & Rehabilitation | 110 Liberty St, Brockton, MA 02301-5674 | 2020-09-22 |
| 1356951784 | Adam S Donahue | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5674 | 2020-07-31 |
| 1427603851 | Kristen Laura Barrett | Registered Nurse | 110 Liberty St, Brockton, MA 02301-5674 | 2019-08-02 |
| 1427611722 | Donovan Kelly | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5674 | 2019-04-22 |
| 1316411481 | Cassandra Desjardins | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2019-01-11 |
| 1407353154 | Dean Robert Howell | Social Worker | 110 Liberty St, Brockton, MA 02301-5674 | 2018-04-10 |
| 1619473725 | Patricia L Ramanauskas | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2018-04-05 |
| 1588182323 | Alicia Reid | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469947 | Jiahua Zhang | Nurse Practitioner | 210 Quincy Ave, Brockton, MA 02302-2862 | 2020-02-21 |
| 1437702719 | Joel Clerville | Nurse Practitioner | 599 Pleasant St, Brockton, MA 02301 | 2019-07-16 |
| 1285035576 | David Westrin | Nurse Practitioner | 235 N Pearl St, Good Samaritan Medical Center, Brockton, MA 02301-1794 | 2014-09-06 |
| 1265832919 | Jona Simone Dunphy | Nurse Practitioner | 1020 Pleasant St, Brockton, MA 02301-3063 | 2014-08-31 |
| 1114349529 | Francesca Villanueva | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2014-01-21 |
| 1841531191 | Karen L Simmons | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2013-03-12 |
| 1740558402 | Erin J Riley | Nurse Practitioner | Va Boston Healthcare System, 940 Belmont St, Brockton, MA 02301 | 2011-12-09 |
| 1174839997 | Katherine Van | Nurse Practitioner | 235 N Pearl St, Brockton, MA 02301-1794 | 2010-08-31 |
| 1619127040 | Martha P Slattery | Nurse Practitioner | 650 Centre St, Suite 102w, Brockton, MA 02302-3308 | 2008-09-23 |
| 1275798852 | Tamara Schorr Hammer | Nurse Practitioner | 7 Christy Dr, Suite 3, Brockton, MA 02301-1843 | 2008-07-23 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.