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

David Bogolub, DO

Individual provider Emergency Medicine Physician · NPI 1245279181

David Bogolub, DO is an Emergency Medicine in Granite City, Illinois. Qualified in 1995, 31 years ago. Practices with Governor Juan F Luis Hospital and Medical Center, a 41-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
31
Licensed in
IL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2100 Madison Ave
Granite City, IL 62040-4701
Phone: (618) 798-3000
Fax: (618) 798-3885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X (IL)

Record details

NPI number1245279181
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3836 N Tripp Ave, Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx, Chicago, IL 60641-3011

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Governor Juan F Luis Hospital And Medical Center — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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