Provider Demographics
NPI:1780726349
Name:GOGAN, FRANCIS JOSEPH JR (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:GOGAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:J
Other - Last Name:GOGAN
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1067 WOODLEY RD # A-2
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2058
Mailing Address - Country:US
Mailing Address - Phone:334-832-1914
Mailing Address - Fax:334-832-1498
Practice Address - Street 1:1067 WOODLEY RD # A-2
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2058
Practice Address - Country:US
Practice Address - Phone:334-832-1914
Practice Address - Fax:334-832-1498
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9635207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51099627OtherBLUE CROSS
AL51099627OtherBLUE CROSS