IndividualActive
Derrald Boggan
NPI 1891668174 · Community Health Worker · Flint, MI
Derrald Boggan is a Community Health Worker provider in Flint, MI (NPI 1891668174).
Provider details
- NPI number
- 1891668174
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2702 Westwood Pkwy
Flint, MI 48503-4669
Phone: (833) 478-9464
Street-level locationGet directions
Mailing address
3060 S Dye Rd
Flint, MI 48507-1078
Registry dates
- Enumerated
- 2025-09-24
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Frequently asked questions
- What is Derrald Boggan's NPI number?
- Derrald Boggan's National Provider Identifier (NPI) is 1891668174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrald Boggan's specialty?
- Derrald Boggan is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Derrald Boggan located?
- Derrald Boggan's practice location on file with NPPES is 2702 Westwood Pkwy, Flint, MI 48503-4669.
- What is Derrald Boggan's phone number?
- The practice phone number listed in the NPPES registry for Derrald Boggan is (833) 478-9464.
- Is Derrald Boggan's NPI active?
- Yes — Derrald Boggan's NPI (1891668174) is active in the NPPES registry as of the last update on 2025-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.