Active NPIIndividual providerSole proprietor

Dr. Sergey V Bogdan, MD

Pain Medicine, Interventional Pain Medicine in Brooklyn, New York

NPI Number1700894110
Practice location
8686 Bay Pkwy Ste M4, Brooklyn, NY 11214-5193
Fax
718-265-7701
Last updated
March 17, 2018

Sergey V Bogdan is a Pain Medicine, Interventional Pain Medicine based in Brooklyn, NY. Sergey V Bogdan practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Sergey V Bogdan is 1700894110 and holds a License No. 222300 (NY). The current practice location address for Sergey V Bogdan is 8686 Bay Pkwy Ste M4, Brooklyn, NY 11214-5193 and can be reached out via phone at 718-265-7700 and via fax at 718-265-7701.

Provider Profile Details

NPI Number
1700894110
Provider Name
Sergey V Bogdan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8686 Bay Pkwy Ste M4, Brooklyn, NY 11214-5193
Phone Number
718-265-7700
Fax Number
718-265-7701
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Sole Proprietor
Yes
Provider Enumeration Date
August 3, 2006
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
8686 Bay Pkwy Ste M4
Brooklyn, NY 11214-5193
Zip
11214-5193
Phone Number
718-265-7700
Fax Number
718-265-7701
Brooklyn, NY 11214Get directions →

Provider Business Mailing Address Details

Address
62 Keune CT
Staten Island, NY 10304-1431
City
Staten Island
State
NY
Zip
10304-1431
Phone Number
718-265-7700
Fax Number
718-265-7701

License Information

License Number (1)
222300
License State (1)
NY
Taxonomy (1)
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary
License Number (2)
222300
License State (2)
NY
Taxonomy (2)
Physical Medicine & Rehabilitation · 208100000X
License Number (3)
25MA0719390
License State (3)
NJ
Taxonomy (3)
Physical Medicine & Rehabilitation · 208100000X
License Number (4)
25MA0719390
License State (4)
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sergey V Bogdan, MD?

The NPI number of Dr. Sergey V Bogdan, MD is 1700894110. It was assigned on August 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sergey V Bogdan, MD?

Dr. Sergey V Bogdan, MD is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in NY under license number 222300.

Where does Dr. Sergey V Bogdan, MD practice?

The practice location is 8686 Bay Pkwy Ste M4, Brooklyn, NY 11214-5193. The office can be reached at 718-265-7700 (phone) or 718-265-7701 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700894110 directly on the NPPES registry website.

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