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

Dr. Brandon Coy Bogle, PHD

Individual provider Clinical Psychologist · NPI 1699082479

Dr. Brandon Coy Bogle, PHD is a Clinical Psychologist in Bristol, Tennessee. Qualified in 2012, 14 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
14
Licensed in
TN, VA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

100 5th St Ste 310
Bristol, TN 37620-5919
Phone: (865) 588-3173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 514 N Main St, Rural Retreat, VA 24368-3123 — (888) 365-6271

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3789 (TN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810004813 (VA)

Record details

NPI number1699082479
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 1, 2010
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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