Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Vincent Bernard Bogan, MSN-CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1174569263

Mr. Vincent Bernard Bogan, MSN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Belvoir, Virginia. Qualified in 2012, 14 years ago. Practices with Old Dominion Anesthesia LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2006
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Practice location Address checks out

9501 Farrell Rd Dewitt Army Community Hospital
Fort Belvoir, VA 22060-5901
Phone: (703) 805-0342
Fax: (703) 805-0731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024164349 (VA)

Record details

NPI number1174569263
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN-CRNA
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESJanuary 25, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Old Dominion Anesthesia Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Belvoir