Individual provider Active NPI

Roger Noland Danziger, M.D.

  • Allergy & Immunology Physician
  • Bradenton, FL
National Provider Identifier
1255395133
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME58560 Issued in FL
Practice address
5404 Cortez Rd W
Bradenton, FL 34210-2815
Phone
(941) 761-1911
Fax
(941) 761-9223
NPI assigned
Apr 17, 2006
Last updated
Feb 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME58560 FL Primary

Addresses

Primary practice location

5404 Cortez Rd W
Bradenton, FL 34210-2815

Mailing address

PO Box 14908
Bradenton, FL 34280-4908
Phone (941) 761-1911

Other identifiers 1

IdentifierTypeStateIssuer
12324OtherMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090224000288 FL Practitioner - Allergy/Immunology 4284799396 Practice locations: Bradenton, FL

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Boston University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5404 Cortez Rd W
Bradenton, FL 34210-2815
Phone (941) 761-1911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME58560FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roger N Danziger MD PA PastSince Jan 1, 1990 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1255395133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14908",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342804908",
            "telephone_number": "941-761-1911",
            "fax_number": "941-761-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102815",
            "telephone_number": "941-761-1911",
            "fax_number": "941-761-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZIGER",
        "first_name": "ROGER",
        "middle_name": "NOLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME58560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "12324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.