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SAMANTHA BOGARD DO
NPI 1053161075
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since March 25, 2024PECOS Enrolled
3003 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 554-8126 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Bogard Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA BOGARD DO (NPI 1053161075) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053161075
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA BOGARDCredential: DO
Location Address3003 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307
Mailing Address1608 Strecker Ridge CtWildwood, MO 63011-1992 · (314) 677-5005
Phone(813) 554-8126
Sole ProprietorNo
Enumeration DateMarch 25, 2024
Last NPPES UpdateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1053161075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3003 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Bogard Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR KRIZAN
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JESSE BLAIR
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JAD HAMDEN MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
DR. GAGAN GNANESWARA MIDATHALA MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANTONIO FRANCISCO PEREZ
Psychiatry & Neurology (Psychiatry)
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANGALINA QUINONES DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
GARRETT FORMAN MD, MPH
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
KATHRYN MARIE COUTURE KELLY MD
Hospitalist
3003 W DR MARTIN LUTHER KING JR BLVD, CHRONIC COMPLEX CLINIC
TAMPA, FL 33607
Hillsborough County (813) 554-8121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Bogard's NPI number?

The NPI number for Samantha Bogard is 1053161075. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Samantha Bogard located?

Samantha Bogard practices at 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607. The listed phone number is (813) 554-8126.

What is Samantha Bogard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Bogard enrolled in Medicare?

Yes. Samantha Bogard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Bogard was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.