DR. ROBERT KENT BOGLE (NPI# 1356676845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356676845 |
| Entity Type | Individual |
| Full Name | DR. ROBERT KENT BOGLE |
| Credential | MD |
| Practice Address |
4007 Sw Port St Lucie Blvd Port St Lucie FL 34953-5679 |
| Mailing Address |
Po Box 7996 Sun City FL 33586-7996 |
| Practice Telephone | 7723431774 |
| Mailing Telephone | 8135129373 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD2009-0672 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
4007 SW PORT ST LUCIE BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-5679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952572430 | Physicians Immediate Care | Non-Pharmacy Dispensing Site | 4007 Sw Port St Lucie Blvd, Suite #12, Port St Lucie, FL 34953-5679 | 2008-03-12 |
| 1063808301 | Physicians Immediate Care Southwest, LLC | Clinic/Center | 4007 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-5679 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245529551 | Meshach P Heenatigala | Surgery | 293 Nw Peacock Blvd Ste 202, Port St Lucie, FL 34986 | 2011-04-07 |
| 1598887010 | Jon Robert Brown | Surgery | 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952-7582 | 2007-04-04 |
| 1013929439 | Rafael Quinones | Surgery | 295 Nw Peacock Blvd, Port St Lucie, FL 34986-2212 | 2006-08-13 |
| 1659387405 | Richard James | Surgery | 176 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986 | 2006-08-01 |
| 1528066958 | Matthew N Peebles | Surgery | 10050 Sw Innovation Way, Port St Lucie, FL 34987-2117 | 2005-07-11 |
| 1174521595 | Adam D Kurtin | Surgery | 1400 Se Goldtree Dr, Suite 102-104, Port St Lucie, FL 34952-7582 | 2005-07-09 |
| 1376956045 | Eric Duffy | Surgery | 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952-7582 | 2014-06-10 |
| 1942555289 | Atlantic Skin Surgery LLC | Surgery | 176 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986-3567 | 2012-07-23 |
| 1073878872 | Diane Marie Krutzler | Surgery | 1400 Se Goldtree Dr, Ste 102-104, Port St Lucie, FL 34952-7582 | 2012-07-08 |
| 1740543057 | Eric Williams Owings | Surgery | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2012-06-21 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
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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.