Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558545285 Individual Practitioner Male Practitioner

Dr. Marc Nicholas Boggy , MD

Pediatrics • Travis Afb, CA

Professional Overview & Biography Verified Profile Summary

Dr. Marc Boggy, MD is a registered healthcare professional specializing in Pediatrics in Travis Afb, CA. Practice services are available at 101 BODIN CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Bodin Cir

Travis Afb, CA 945351809

Telephone 4022948581
Associated Practice Facility / Clinic
🏢 60 Msgs Facility NPI 1306826953

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Travis Afb, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Travis Afb, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 40876

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AZ 77028

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License
40876 (AZ)
Commercial Insurance / Payer ID Training Permit
77028 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Eric Sherman , MD

Pediatrics - Pediatric Endocrinology

NPI 1831119502

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location June 02, 2025

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 4022948581)

📍
Updated Business Mailing Address June 02, 2025

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809

📍
Updated Practice Location July 24, 2023

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043 (Tel: 4022948581)

📍
Updated Business Mailing Address July 24, 2023

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043

📍
Updated Practice Location April 21, 2023

Registered at 52 MEDICAL GROUP, UNIT 3690, APO, AE 09126 (Tel: 3144526202)

📍
Updated Business Mailing Address April 21, 2023

Registered at 52 MDG, UNIT 3690, APO, AE 09123 (Tel: 3144526202)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2023

Pediatrics (License #77028 in AZ)

📍
Updated Business Mailing Address April 12, 2018

Registered at 18TH MEDICAL GROUP, UNIT 5142, APO, AP 963685142 (Tel: 3156304780)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 18TH MEDICAL GROUP, UNIT 5142, APO, AP 963685142 (Tel: 3156304780)

📍
Updated Business Mailing Address June 15, 2017

Registered at RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115, APO, AE 094615115

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as MARC BOGGY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Pediatrics (License #77028 in AZ)

NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2014

Registered at 350 W THOMAS RD, ATTN: ACADEMIC AFFAIRS, PHOENIX, AZ 850134409 (Tel: 6024063538)

📍
Updated Business Mailing Address June 24, 2014

Registered at RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115, APO, AE 094615115

👤
Provider Name / Credentials Updated June 24, 2014

Recorded as MARC BOGGY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Pediatrics (License #40876 in AZ)

🟢
Initial NPI Registration & Enumeration December 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558545285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2007
Last Update: June 26, 2025
Sole Proprietor: Yes

Mailing Address

101 Bodin Cir

Travis Afb, CA 945351809

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.