Individual provider · Type 1 NPI
Benjamin Bogert, DPM
Foot & Ankle Surgery Podiatrist · Corvallis, OR
NPI number
1154945038
Active
Practice location
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Mailing address
444 NW Elks Dr
Corvallis, OR 97330-3745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | DP221955 (OR) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1154945038
Benjamin Bogert, DPM's National Provider Identifier is 1154945038, issued on Jun 5, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Corvallis, OR. The record was last updated on Nov 4, 2024.