LEON JACOB BOGARTZ M.D. NPI 1477583268

NPI Information

  • NPI: 1477583268
  • Provider Name: LEON JACOB BOGARTZ, M.D.,
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 7540 DANNAHER LN
    STE. 300
    POWELL, TN
    ZIP 37849
  • Phone: (865) 362-8524

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NPI Details

Leon Jacob Bogartz, M.D., is a specialist in Powell, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Leon Jacob Bogartz, M.D., NPI is 1477583268. 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:

7540 DANNAHER LN
STE. 300
POWELL, TN
ZIP 37849-013
Phone: (865) 362-8524
Fax: (865) 545-3115

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialist0000006741TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B02251MEDICARE UPINTENNESSEE
23149626MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
32002856MEDICAIDTENNESSEE

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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