Organization Active NPI

Roger N Danziger MD PA

  • Specialist
  • Bradenton, FL
National Provider Identifier
1083928170
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME58560 Issued in FL
Legal business name
ROGER N DANZIGER MD PA
Practice address
5404 Cortez Rd W
Bradenton, FL 34210-2815
Phone
(941) 761-1911
Fax
(941) 761-9223
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Roger Noland Danziger, MDNPI 1255395133
Title
Doctor/President
Phone
(941) 761-1911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME58560 FL Primary

Addresses

Primary practice location

5404 Cortez Rd W
Bradenton, FL 34210-2815

Mailing address

PO Box 14908
Bradenton, FL 34280-4908
Phone (941) 761-1911

Other identifiers 1

IdentifierTypeStateIssuer
370535800MedicaidFL

National Provider Directory

National Provider Directory

Locations

5404 Cortez Rd W
Bradenton, FL 34210
Phone (941) 761-1911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1083928170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14908",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342804908",
            "telephone_number": "941-761-1911",
            "fax_number": "941-761-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102815",
            "telephone_number": "941-761-1911",
            "fax_number": "941-761-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER N DANZIGER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "DANZIGER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "NOLAND",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "941-761-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME58560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370535800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.