CHARLES BOGAN NPI 1114474541

NPI Information

  • NPI: 1114474541
  • Provider Name: CHARLES BOGAN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 4656 WALFORD RD
    APARTMENT 114
    CLEVELAND, OH
    ZIP 44128
  • Phone: (216) 804-6678

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NPI Details

Charles Bogan is a licensed practical nurse in Cleveland, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Charles Bogan NPI is 1114474541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4656 WALFORD RD
APARTMENT 114
CLEVELAND, OH
ZIP 44128-153
Phone: (216) 804-6678

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NursePN. 127610OHIOYes

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: 11/21/2025

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