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PETER SHELBY BOGARD DO NPI 1003085630


NPI Information

NPI: 1003085630
Provider Name: PETER SHELBY BOGARD DO

Doing Business As: BOGARD FAMILY AND SPORTS MEDICINE

Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
700 SW RAMSEY
SUITE 104
GRANTS PASS, OR
ZIP 97527
Phone: (541) 471-4930
Get Directions

PETER SHELBY BOGARD DO is a sports medicine family medicine in Grants Pass, OR. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. PETER SHELBY BOGARD DO NPI is 1003085630. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bogard Family And Sports Medicine.

The provider's business location address is:

700 SW RAMSEY
SUITE 104
GRANTS PASS, OR
ZIP 97527-788
Phone: (541) 471-4930
Fax: (541) 471-1331

The provider's authorized official is Peter Shelby Bogard .
The authorized official title is Doctor and has the following contact phone number (541) 471-4930.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 3/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineDO18557OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R112564MEDICARE PINOREGON
2058748MEDICAIDOREGON
3F67383MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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