DR. WILLIAM K BOGACHE MD NPI 1710978903

NPI Information

NPI: 1710978903
Provider Name: DR. WILLIAM K BOGACHE, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
823 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 449-1010
Get Directions

DR. William K Bogache, MD is an urology in Myrtle Beach, SC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. William K Bogache, MD NPI is 1710978903. 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:

823 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572-607
Phone: (843) 449-1010
Fax: (843) 497-6171

The enumeration date for this NPI number is 11/4/2005 and was last updated on 6/27/2012.

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
1	208800000X	Urology		MD13929	SOUTH CAROLINA	Yes

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
1	GP1418	MEDICAID	SOUTH CAROLINA
2	2148886	OTHER	SOUTH CAROLINA	CIGNA
3	B922225107	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
4	139291	MEDICAID	SOUTH CAROLINA
5	P00360552	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE
6	GP4522	MEDICAID	SOUTH CAROLINA
7	B92222	MEDICARE UPIN	SOUTH CAROLINA
8	B922228568	MEDICARE PIN	SOUTH CAROLINA
9	340002835	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE
10	000000257216	OTHER	SOUTH CAROLINA	UNISON HEALTH PLAN
11	5586006	OTHER	SOUTH CAROLINA	AETNA
12	89064R1	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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