Active NPI
Rogers and Davidson PA
- Endocrinology, Diabetes & Metabolism Physician
- Gainesville, FL
National Provider Identifier
1063402071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- FLME0043684
- Legal business name
- ROGERS AND DAVIDSON PA
- Practice address
- 4739 NW 53Rd Ave
Suite a
Gainesville, FL 32653-4800 - Phone
- (352) 371-9847
- Fax
- (352) 371-9526
- NPI assigned
- Oct 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce J. Rogers, MD
- Title
- President
- Phone
- (352) 371-9847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | FLME0043684 | FL | Primary |
Addresses
Primary practice location
4739 NW 53Rd Ave
Suite a
Gainesville, FL 32653-4800
Mailing address
4739 NW 53Rd Ave
Suite a
Gainesville, FL 32653-4800
Phone (352) 371-9847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21604 | Other | FL | GROUP BC NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278028800000",
"number": "1063402071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4739 NW 53RD AVE",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326534800",
"telephone_number": "352-371-9847",
"fax_number": "352-371-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4739 NW 53RD AVE",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326534800",
"telephone_number": "352-371-9847",
"fax_number": "352-371-9526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGERS AND DAVIDSON PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-21",
"last_updated": "2010-07-02",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-371-9847",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "FLME0043684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BC NUMBER",
"identifier": "21604",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.