IndividualActive
Brandon Bogle, PHD
NPI 1699082479 · Clinical Psychologist · Bristol, TN
Provider details
- NPI number
- 1699082479
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 0810004813 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
100 5th St Ste 310
Bristol, TN 37620-5919
Phone: (865) 588-3173
Approximate (ZIP-level) locationGet directions
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Additional practice locations (1)
- 514 N Main StRural Retreat, VA 24368-3123Phone: (888) 365-6271
Registry dates
- Enumerated
- 2010-09-01
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.