Charles Peter Rogers, MD FACC
Individual provider Active NPI Cardiovascular Disease Physician · Longmont, CO
NPI 1275545147 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1275545147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 38114 (CO)
- Practice address
- 2101 Ken Pratt Blvd Ste 104
Longmont, CO 80501-6568 - Phone
- (303) 442-2395
- Fax
- (303) 442-1073
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0038114 | CO | MD | Internal Medicine Physician |
| 38114 | CO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Past | Accepting new patients | |
| Boulder Ekg | Internal Medicine | Past | Accepting new patients |
| Longmont United Hospital | Past | Accepting new patients | |
| Boulder Community Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0038114 | CO | |
| Cardiovascular Disease Physician | 207RC0000X | 38114 | CO | Yes |
Addresses
Primary practice location
2101 Ken Pratt Blvd Ste 104
Longmont, CO 80501-6568
Mailing address
5450 Western Ave Ste B
Boulder, CO 80301-2709
Phone (303) 442-2395
Other practice location 1
4743 Arapahoe Ave Ste 201
Boulder, CO 80303-1128
Phone (303) 442-2395
Other providers in Longmont, CO
- Micaela Rodas
- Deborah Rode
- Michael Rodgers
- Rhina Rodriguez-Cernak
- Kristoffer Rodriguez
- Cliff Edward Rogge
- Sarah Romero
- Andrew Romoda
- Juanique Roney
- Matthew Rooney
All providers in Longmont, CO · Cardiovascular Disease Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.