Individual provider Active NPI

Roger Norman Morrison, M.D.

  • General Practice Physician
  • Nevada City, CA
National Provider Identifier
1083829550
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C41331 Issued in CA
Practice address
13438 Cement Hill Rd.
Nevada City, CA 95959-9713
Phone
(510) 412-9040
Fax
(510) 412-9040
NPI assigned
May 10, 2007
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C41331 CA Primary

Addresses

Primary practice location

13438 Cement Hill Rd.
Nevada City, CA 95959-9713

Mailing address

13438 Cement Hill Rd.
Nevada City, CA 95959-9713
Phone (510) 412-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 16, 2019 through Apr 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1083829550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13438 CEMENT HILL RD.",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599713",
            "telephone_number": "510-412-9040",
            "fax_number": "510-412-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13438 CEMENT HILL RD.",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599713",
            "telephone_number": "510-412-9040",
            "fax_number": "510-412-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "ROGER",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-11-02",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C41331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

Verify at the official NPI Registry.