Active NPI
Roger Guthrie
- Adult Medicine Physician
- Colleyville, TX
National Provider Identifier
1013130640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- G0421
- Practice address
- 1200 W Murphy Rd
Colleyville, TX 76034-7211 - Phone
- (817) 514-8391
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | G0421 | TX | Primary |
Addresses
Primary practice location
1200 W Murphy Rd
Colleyville, TX 76034-7211
Mailing address
1200 W Murphy Rd
Colleyville, TX 76034-7211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0421 | TX | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1013130640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W MURPHY RD",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760347211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W MURPHY RD",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760347211",
"telephone_number": "817-514-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "ROGER",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "G0421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.