Individual provider · Type 1 NPI

Michael Stephen Bogard, DO

Sports Medicine (Orthopaedic Surgery) Physician · San Diego, CA

NPI number 1114412939 Active

Practice location

8929 University Center Ln Ste 210
San Diego, CA 92122-1054

Fax (858) 703-1001

Mailing address

PO Box 13061
La Jolla, CA 92039-3061

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X20A17716 (CA)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1114412939

Michael Stephen Bogard, DO's National Provider Identifier is 1114412939, issued on Jun 25, 2018. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in San Diego, CA. The record was last updated on Apr 7, 2026.