DR. BRANDON COY BOGLE PHD
NPI 1699082479
Psychologist - Clinical in Bristol, TN

Q: What is Brandon Bogle's NPI number?

The NPI number for Brandon Bogle is 1699082479. It was assigned to this individual provider in the NPPES registry on September 1, 2010.

Q: What is Brandon Bogle's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Bogle was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since September 01, 2010PECOS EnrolledAccepts Medicare Assignment

100 5TH ST STE 310, BRISTOL, TN 37620(865) 588-3173 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2026, May 11, 2026, Sep 8, 2020 (3 updates tracked since 2020).

On this page

About Dr. Brandon Coy Bogle Phd NPPES

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

DR. BRANDON COY BOGLE PHD (NPI 1699082479) is an individual clinical provider in Bristol, Tennessee, licensed in Tennessee (3789) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rural Retreat, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1699082479

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRANDON COY BOGLECredential: PHD

Location Address100 5TH ST STE 310Bristol, TN 37620-5919

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630

Phone(865) 588-3173

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 1, 2010

Last NPPES UpdateMay 22, 20263 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1699082479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in TN · 3789✔ Licensed in VA · 0810004813

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

100 5TH ST STE 310, Bristol, TN 37620

Open in Google Maps ↗

Secondary Practice Location 1

Location 1514 N Main StRural Retreat, VA 24368-3123 · Phone (888) 365-6271

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon Coy Bogle Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880828490

PECOS Enrollment IDI20260604000572

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

JENNIFER LAUREN HEGLAR LPC

Counselor (Professional)