Active NPI
B. H. Gerald Rogers, M.D., LTD
- Gastroenterology Physician
- Chicago, IL
National Provider Identifier
1255663662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036040176
- Legal business name
- B. H. GERALD ROGERS, M.D., LTD
- Practice address
- 505 N Lake Shore Dr
Suite 406
Chicago, IL 60611-3493 - Phone
- (312) 828-9747
- NPI assigned
- Feb 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bertram Henrygerald Rogers, M.D.
- Title
- President
- Phone
- (312) 828-9747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036040176 | IL | Primary |
Addresses
Primary practice location
505 N Lake Shore Dr
Suite 406
Chicago, IL 60611-3493
Mailing address
505 N Lake Shore Dr
Suite 406
Chicago, IL 60611-3493
Phone (312) 828-9747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036040176 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Chicago, IL
- NPI 1316903347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1255663662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N LAKE SHORE DR",
"address_2": "SUITE 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113493",
"telephone_number": "312-828-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N LAKE SHORE DR",
"address_2": "SUITE 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113493",
"telephone_number": "312-828-9747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B. H. GERALD ROGERS, M.D., LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "BERTRAM",
"authorized_official_middle_name": "HENRYGERALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-828-9747",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036040176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036040176",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.