Active NPI
Roger Williams Kemp, M.D.
- Interventional Pain Medicine Physician
- Montgomery, AL
National Provider Identifier
1104984624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 15752
- Practice address
- 1722 Pine St
Suite 704
Montgomery, AL 36106-1103 - Phone
- (334) 264-3302
- Fax
- (334) 264-3305
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 15752 | AL | Primary |
Addresses
Primary practice location
1722 Pine St
Suite 704
Montgomery, AL 36106-1103
Mailing address
1722 Pine St
Suite 704
Montgomery, AL 36106-1103
Phone (334) 264-3302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130606000246 | AL | Practitioner - Anesthesiology | 5799845756 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15752 | AL | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Alabama Pain Management Center, P.C. | Current | Accepting new patients |
Locations
1709 Forest Ave
Montgomery, AL 36106
Phone (205) 270-1771
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Montgomery, AL
- NPI 1568716207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104984624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 PINE ST",
"address_2": "SUITE 704",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061103",
"telephone_number": "334-264-3302",
"fax_number": "334-264-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 PINE ST",
"address_2": "SUITE 704",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061103",
"telephone_number": "334-264-3302",
"fax_number": "334-264-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "ROGER",
"middle_name": "WILLIAMS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AL",
"license": "15752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.