NPI age
19 years
Enumerated 2006-07-12
● Active
Type 1 · Individual
Michael A Bogdan, MD, FACS
Bogdan is 1 of 11 plastic surgery providers in Southlake and 1 of 618 in Texas.
Primary specialty
Plastic Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 618 active plastic surgery providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
410 N Carroll Ave, Suite 170
Southlake, TX 760926455
Mailing address
410 N Carroll Ave, Suite 170
Southlake, TX 760926455
Specialties
-
Plastic Surgery PrimaryA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.