Clifford P Bogan, PT
Physical Therapist in Fuquay Varina, North Carolina
1790468676- Practice location
- 100 Fitness Dr, Fuquay Varina, NC 27526-7263
- Phone
- 919-557-3100
- Fax
- —
- Last updated
- October 28, 2026
Clifford Paul Bogan is a Physical Therapist based in Fuquay Varina, NC. Clifford Paul Bogan practices in Fuquay Varina, NC and has the professional credentials of PT. The NPI Number for Clifford Paul Bogan is 1790468676 and holds a License No. 2023033453 (MO). The current practice location address for Clifford Paul Bogan is 100 Fitness Dr, Fuquay Varina, NC 27526-7263 and can be reached out via phone at 919-557-3100.
Provider Profile Details
- NPI Number
- 1790468676
- Provider Name
- Clifford Paul Bogan
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Fitness Dr, Fuquay Varina, NC 27526-7263
- Phone Number
- 919-557-3100
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 8, 2023
- Last Update Date
- October 28, 2026
- Certification Date
- October 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Fitness Dr
Fuquay Varina, NC 27526-7263 - City
- Fuquay Varina
- State
- North Carolina
- Zip
- 27526-7263
- Phone Number
- 919-557-3100
Provider Business Mailing Address Details
- Address
- Po Box 412313
Boston, MA 02241-2313 - City
- Boston
- State
- MA
- Zip
- 02241-2313
License Information
- License Number (1)
- 2023033453
- License State (1)
- MO
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- CP051697T
- License State (2)
- NC
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- P24562
- License State (3)
- NC
- Taxonomy (3)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Clifford P Bogan, PT?
The NPI number of Clifford P Bogan, PT is 1790468676. It was assigned on August 8, 2023 and is currently active in the NPPES registry.
What is the specialty of Clifford P Bogan, PT?
Clifford P Bogan, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MO under license number 2023033453.
Where does Clifford P Bogan, PT practice?
The practice location is 100 Fitness Dr, Fuquay Varina, NC 27526-7263. The office can be reached at 919-557-3100 (phone).
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 1790468676 directly on the NPPES registry website.