Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790220341 Individual Practitioner Male Practitioner

Dustin W Bogan , PA-C

Physician Assistant • Charlottesville, VA

Professional Overview & Biography Verified Profile Summary

Dustin Bogan, PA-C is a certified Physician Assistant practicing in Charlottesville, VA. With approximately 2 years of clinical experience since completing medical education in 2024, Dustin Bogan delivers high-quality medical care to the local community at 1204 W MAIN ST.

Dustin Bogan does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1204 W Main St

Charlottesville, VA 229032824

Telephone 4349248184
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Charlottesville, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
156 Specialists

Practicing in Charlottesville, VA (4432 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bogan (2 Years) 2 Yrs
Charlottesville Specialty Average (9.1 Years) 9.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110005643

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License VA 0110005643

Definition to come...

Secondary Practice Locations

13821 Village Mill Dr

Midlothian, VA 231144314

Phone: 8047942821

24560 Southpoint Dr Ste 260

Aldie, VA 201053505

Phone: 5712487472

1215 Lee St

Charlottesville, VA 229080816

Phone: 4349248184

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Evan Anderson , PhD

Psychologist - Clinical

NPI 1134765159

Doctor of Philosophy (Ph.D.)

Dr. Melanie Morse , PhD

Psychologist - Clinical

NPI 1285343434

Doctor of Philosophy (Ph.D.)

Dr. Emily Boshkoff , PsyD

Psychologist - Clinical

NPI 1326493529

Doctor of Psychology (Psy.D.)

Dr. Erin Berenz , PhD

Psychologist - Clinical

NPI 1427448976

Doctor of Philosophy (Ph.D.)

Dr. Kimberly Driscoll , PhD

Psychologist - Clinical

NPI 1619122231

Doctor of Philosophy (Ph.D.)

Margaret West , CPNP

Nurse Practitioner - Pediatrics

NPI 1770782310

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 15, 2026

Registered at 1204 W MAIN ST, CHARLOTTESVILLE, VA 229032824 (Tel: 4349248184)

📍
Updated Business Mailing Address June 15, 2026

Registered at PO BOX 749112, ATLANTA, GA 303749112 (Tel: 4342951000)

📍
Updated Business Mailing Address March 28, 2022

Registered at 13821 VILLAGE MILL DR, MIDLOTHIAN, VA 231144314 (Tel: 8047942821)

👤
Provider Name / Credentials Updated March 28, 2022

Recorded as DUSTIN BOGAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Physician Assistant (License #0110005643 in VA)

NPI Profile Active January 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2017

Registered at 13821 VILLAGE MILL DR, MIDLOTHIAN, VA 231144314 (Tel: 8047942821)

📍
Updated Business Mailing Address January 05, 2017

Registered at 7357 RIVER PINE DR, MECHANICSVILLE, VA 231115245 (Tel: 5402928804)

👤
Provider Name / Credentials Updated January 05, 2017

Recorded as DUSTIN BOGAN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 05, 2017

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: 1790220341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2017
Last Update: June 15, 2026
Sole Proprietor: No

Mailing Address

Po Box 749112

Atlanta, GA 303749112

Phone: 4342951000

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.