Individual provider · Type 1 NPI

Brandon Bogard, APRN

Nurse Practitioner · Titusville, FL

NPI number 1114665148 Active

Practice location

1840 S Washington Ave
Titusville, FL 32780-4716

Fax (321) 806-2087

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11016143 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114665148

Brandon Bogard, APRN's National Provider Identifier is 1114665148, issued on May 20, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Titusville, FL. The record was last updated on Sep 21, 2023.