IndividualActive
Elliott Vogler, LAT, ATC
NPI 1356085823 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Winston Salem, NC
Provider details
- NPI number
- 1356085823
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- LAT-3945 (NC)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense LAT-3945 (NC)
Allopathic & Osteopathic Physicians
Practice location
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2011
Approximate (ZIP-level) locationGet directions
Mailing address
3519 Mount Bethel Church Rd
East Bend, NC 27018-8627
Registry dates
- Enumerated
- 2022-04-21
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.