Active NPI
Roger Maurice Kerr, M.D
- Diagnostic Radiology Physician
- Brentwood, TN
National Provider Identifier
1235198581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G49498
- Practice address
- 8 Cadillac Dr
Ste. 200
Brentwood, TN 37027-5087 - Phone
- (615) 376-7370
- Fax
- (615) 376-7575
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G49498 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 46578 | TN |
Addresses
Primary practice location
8 Cadillac Dr
Ste. 200
Brentwood, TN 37027-5087
Mailing address
2612 34TH St
Santa Monica, CA 90405-3115
Phone (310) 396-6175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G494981 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49498 | CA | MD | Diagnostic Radiology Physician |
| 46578 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger M. Kerr, M.D.,Inc | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1225124340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1235198581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 34TH ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053115",
"telephone_number": "310-396-6175",
"fax_number": "310-450-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CADILLAC DR",
"address_2": "STE. 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275087",
"telephone_number": "615-376-7370",
"fax_number": "615-376-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "ROGER",
"middle_name": "MAURICE",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G49498",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "46578",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G494981",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.