Individual provider Active NPI

Rodger Besley Carter III, DO

  • Family Medicine Physician
  • Agana Heights, GU
National Provider Identifier
1124605951
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207405 Issued in VA
Practice address
U.S. Naval Hospital Guam
BLDG 50, Farenholt Avenue
Agana Heights, GU 96910
Phone
(671) 344-9340
NPI assigned
Mar 26, 2021
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102207405 VA Primary

Addresses

Primary practice location

U.S. Naval Hospital Guam
BLDG 50, Farenholt Avenue
Agana Heights, GU 96910

Mailing address

U.S. Naval Hospital Guam
PSC 455 Box 208
Fpo, AP 96540
Phone (671) 344-9340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109000399 VA Order and Referring Only - Family PracticePractitioner - Family Practice 2062882012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102207405VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1124605951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "U.S. NAVAL HOSPITAL GUAM",
            "address_2": "PSC 455 BOX 208",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96540",
            "telephone_number": "671-344-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.S. NAVAL HOSPITAL GUAM",
            "address_2": "BLDG 50, FARENHOLT AVENUE",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-344-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "RODGER",
        "middle_name": "BESLEY",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agana Heights, GU

Sources for this page

Verify at the official NPI Registry.