MICHAEL A. BOGGESS M.D. NPI 1912973249

NPI Information

  • NPI: 1912973249
  • Provider Name: MICHAEL A. BOGGESS, M.D.
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 44D2326925
  • Address: 213 OVERLOOK CIR STE B3
    BRENTWOOD, TN
    ZIP 37027
  • Phone: (615) 942-8016

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NPI Details

Michael A. Boggess, M.D. is a facial plastic surgery otolaryngology in Brentwood, TN. The provider is an otolaryngologist who specializes in facial plastic surgery. Michael A. Boggess, M.D. NPI is 1912973249. 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:

213 OVERLOOK CIR STE B3
BRENTWOOD, TN
ZIP 37027-241
Phone: (615) 942-8016
Fax: (615) 739-5376

The NPI 1912973249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The CLIA number assigned to this NPI record is 44D2326925 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2006 and was last updated on 11/22/2015.

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
1174400000XSpecialist31982KENTUCKYNo
2207YS0123XOtolaryngologyFacial Plastic Surgery44489TENNESSEEYes

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
1Q017030MEDICAIDTENNESSEE
264007750MEDICAIDKENTUCKY
3H13652MEDICARE UPINKENTUCKY
41834801MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY

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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