Roger Ronald Hesselbrock, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

F9559 Issued in TX

Practice address

Usafsam/Fecn
BLDG 840, 2510 Fifth Street
Wright-Patterson AFB, OH 45433

Phone

(937) 938-2700

NPI assigned

Nov 22, 2005

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1154304236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-8718",
            "fax_number": "937-656-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USAFSAM/FECN",
            "address_2": "BLDG 840, 2510 FIFTH STREET",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-938-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSELBROCK",
        "first_name": "ROGER",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.129023",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "F9559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Floyd Heacock, M.D.
• Amber Rose Heller
• Alison Hanna Helmkamp, DO
• Christopher George Herman
• Bryan Hersch, FNP
• Nicholas David Heuring
• Amy Gammill Hicks, MD
• Marlyna Hidalgo, SOCIAL WORKER
• Eric Andrew High, M.D.
• Lauren Hill

• Neurology Physician in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.