Organization Active NPI

Richard E. Rogovin, DC, PA

  • Chiropractor
  • Brandon, FL
National Provider Identifier
1104079466
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 5159 Issued in FL
Legal business name
RICHARD E. ROGOVIN, DC, PA
Practice address
506 Westbrook Ave
Brandon, FL 33511-5316
Phone
(813) 689-6359
Fax
(813) 681-2633
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Richard E. Rogovin, DC
Title
President
Phone
(813) 689-6359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 5159 FL Primary

Addresses

Primary practice location

506 Westbrook Ave
Brandon, FL 33511-5316

Mailing address

506 Westbrook Ave
Brandon, FL 33511-5316
Phone (813) 689-6359

Other identifiers 1

IdentifierTypeStateIssuer
22111OtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

506 Westbrook Ave
Brandon, FL 33511
Phone (813) 689-6359

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": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1104079466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 WESTBROOK AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115316",
            "telephone_number": "813-689-6359",
            "fax_number": "813-681-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 WESTBROOK AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115316",
            "telephone_number": "813-689-6359",
            "fax_number": "813-681-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. ROGOVIN, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ROGOVIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-689-6359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 5159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "22111",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.