BRADLEY PHILLIP BOGDAN (MSW) – Clinical Social Worker, NPI 1487907366
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRADLEY PHILLIP BOGDAN (MSW)
2900 E 29TH ST STE 100
BRYAN, TX 778022623
Phone: (979) 436-0483
Fax: (877) 601-5854
Type: Mailing
8441 STATE HIGHWAY 47 STE 1400
BRYAN, TX 778073208
Phone: (979) 776-8440
Fax: (877) 601-5854
Type: Location
109 4th St
Eureka, CA 955010325
Phone: (707) 442-4322
Fax: (707) 442-4113
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160721001933 | I | Clinical Social Worker | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Certified Nurse Midwife (Cnm) | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| Clinical Social Worker | TX | |
| P S Y C H I A T R Y | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
Reviews
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