Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Thomas Bogdanowicz, MD

Individual provider Family Medicine Physician · NPI 1265751267

Brian Thomas Bogdanowicz, MD is a Family Practice in Daytona Beach, Florida. Graduated from University of Tennessee, Hsc, College of Medicine in 2010, 16 years ago. Practices with Florida Primary Care and Sports Medicine, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

303 No Clyde Morris Blvd Halifax Health Medical Center & Community Clinic
Daytona Beach, FL 32114-2709
Phone: (386) 425-6198
Fax: (386) 425-6197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME110715 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence TRN15063 (FL)

Record details

NPI number1265751267
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2010
Last updated in NPPESMarch 8, 2012
Mailing addressPo Box 864074, Halifax Healthcare Systems, Inc., Orlando, FL 32886-4074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Florida Primary Care And Sports Medicine, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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