Individual
DR. STEPHEN J BOGAN
Active
Individual
DR. STEPHEN J BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
16420
SC
207W00000X
Ophthalmology Physician
Primary
36496
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0860143
UNITED HEALTH CARE
—
01
—
104386
WELLNESS PLAN
—
01
—
16428
BCBS
NC
01
—
16428
BCBS
SC
01
—
16428
BLUE CROSS BLUE SHIELD
—
01
—
2109355
MAMSI INSURANCE
—
01
—
561705441
AETNA
—
01
—
561705541
WORKMANS COMP
NC
01
—
561705541
WORKMANS COMP
SC
01
—
561705541
CMS 1500
—
05
—
8916428
—
NC
01
—
D44881
FIRST HEALTH
—
01
—
D448817495
MC SOUTH CAROLINA
—
05
—
N36496
—
SC
01
—
S341421
HEALTHSOURCE SC INC
—
Enumeration date
12/20/2005
Last updated
10/05/2023
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