DR. BRANDON BOGGAN (NPI# 1750506465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750506465 |
| Entity Type | Individual |
| Full Name | DR. BRANDON BOGGAN |
| Practice Address |
2705 Pelham Parkway Suite 200 Pelham AL 35124 |
| Practice Telephone | 2056644140 |
| Practice Fax Number | 2056643234 |
| Mailing Telephone | 2056644140 |
| Mailing Fax Number | 2056643234 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4684 | AL | Dental Providers |
| Street Address |
2705 PELHAM PARKWAY SUITE 200 |
| City | PELHAM |
| State | AL |
| Zip Code | 35124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145219 | Orthodontics South, PC | Dentist | 2705 Pelham Pkwy Ste 200, Pelham, AL 35124-1704 | 2019-07-16 |
| 1073928560 | Arthur Alvin Jones Iv | Dentist | 305 Huntley Pkwy, Pelham, AL 35124-6164 | 2014-06-24 |
| 1790904407 | Michael Angelo Prisco | Dentist | 123 Wolfs Ln, Pelham, NY 10803-1812 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573825 | William Bates | Dentist | 2826 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-06-22 |
| 1376173484 | Shadi Alkhoury | Dentist | 2011 Vestavia Park Ln Apt A, Vestavia, AL 35216-3715 | 2020-01-17 |
| 1942855176 | Pda Orthodontics, LLC | Dentist | 5336 Stadium Trace Pkwy Ste 112, Hoover, AL 35244-4581 | 2019-08-05 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1679039341 | Brenna Iona Christensen | Dentist | 17 Demouy Ave, Mobile, AL 36606-1458 | 2019-02-18 |
| 1831668565 | Stephen T. Hicks and M. Bancroft Mcmurphy IIi Dds PC | Dentist | 1575 S University Blvd, Mobile, AL 36609-2958 | 2018-11-26 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1700361003 | Brian R. Oliver Dmd, LLC | Dentist | 5901 Grelot Rd Bldg E, Mobile, AL 36609-3603 | 2018-10-02 |
| 1205319605 | Pad Ortho LLC | Dentist | 1015 Brocks Gap Pkwy, Hoover, AL 35244-4032 | 2018-09-11 |
| 1497244438 | Smile Doctors of Alabama, PC | Dentist | 535 Jack Warner Pkwy Ne Ste D, Tuscaloosa, AL 35404-5715 | 2018-05-04 |
| Find all providers with the same taxonomy | ||||
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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.