Individual provider Active NPI

Roger Ward Steinbrenner, MD

  • Internal Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1063420982
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD8279 Issued in OR
Practice address
181 NW Bunnell
Grants Pass, OR 97526-6012
Phone
(541) 479-7568
Fax
(541) 479-7569
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD8279 OR Primary

Addresses

Primary practice location

181 NW Bunnell
Grants Pass, OR 97526-6012

Mailing address

181 NW Bunnell
Grants Pass, OR 97526-6012
Phone (541) 479-7568

Other identifiers 1

IdentifierTypeStateIssuer
180455MedicaidOR

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 Medicine

State licenses

LicenseStateTypeSpecialty
8279ORMDContractor
MD8279ORMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1063420982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 NW BUNNELL",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266012",
            "telephone_number": "541-479-7568",
            "fax_number": "541-479-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 NW BUNNELL",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975266012",
            "telephone_number": "541-479-7568",
            "fax_number": "541-479-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBRENNER",
        "first_name": "ROGER",
        "middle_name": "WARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD8279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180455",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.