Provider Demographics
NPI:1497296164
Name:BOGAN SLEEP CONSULTANTS
Entity Type:Organization
Organization Name:BOGAN SLEEP CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-251-3093
Mailing Address - Street 1:1333 TAYLOR ST
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2923
Mailing Address - Country:US
Mailing Address - Phone:803-251-3093
Mailing Address - Fax:803-376-1876
Practice Address - Street 1:1333 TAYLOR ST
Practice Address - Street 2:SUITE 6B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2923
Practice Address - Country:US
Practice Address - Phone:803-251-3093
Practice Address - Fax:803-376-1876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty