Individual provider · Type 1 NPI

Caroline Grace Bogan, PA-C

Physician Assistant · Glen Allen, VA

NPI number 1083598379 Active

Practice location

3960 Stillman Pkwy
Glen Allen, VA 23060-4197

Call (843) 693-9395 Map

Mailing address

821 Bonito Dr
Fripp Island, SC 29920-7058

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083598379

Caroline Grace Bogan, PA-C's National Provider Identifier is 1083598379, issued on Aug 1, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glen Allen, VA. The record was last updated on Aug 18, 2025.