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

Jennifer Kim Bogan, MD

Individual provider Diagnostic Radiology Physician · NPI 1720058001

Jennifer Kim Bogan, MD is a Diagnostic Radiology Physician in Eden Prairie, Minnesota. Licensed in Arizona and Florida. Registered with an NPI since 2006.

Licensed in
AZ, FL
In the registry since
2006
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

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1301
Fax: (612) 294-4903
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 29223 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME125290 (FL)

Record details

NPI number1720058001
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020

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