Individual provider · Type 1 NPI

Dustin W. Bogan, PA-C

Physician Assistant · Charlottesville, VA

NPI number 1790220341 Active

Practice location

1204 W Main St
Charlottesville, VA 22903-2824

Call (434) 924-8184 Map

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 13821 Village Mill Dr, Midlothian, VA 23114-4314 · (804) 794-2821
  • 1215 Lee St, Charlottesville, VA 22908-0816 · (434) 924-8184
  • 24560 Southpoint Dr Ste 260, Aldie, VA 20105-3505 · (571) 248-7472

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0110005643 (VA)
Physician Assistant Primary 363A00000X0110005643 (VA)

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 1790220341

Dustin W. Bogan, PA-C's National Provider Identifier is 1790220341, issued on Jan 5, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlottesville, VA. The record was last updated on Jun 15, 2026.