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

Dustin W Bogan, PA-C

Individual provider Medical Physician Assistant · NPI 1790220341

Dustin W Bogan, PA-C is a Physician Assistant in Charlottesville, Virginia. Qualified in 2024, 2 years ago. Works from 4 locations. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1204 W Main St
Charlottesville, VA 22903-2824
Phone: (434) 924-8184
Show map & directions

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

Additional practice locations (3)

  • 24560 Southpoint Dr Ste 260, Aldie, VA 20105-3505 — (571) 248-7472
  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-8184
  • 13821 Village Mill Dr, Midlothian, VA 23114-4314 — (804) 794-2821

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005643 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110005643 (VA)

Record details

NPI number1790220341
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 5, 2017
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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