Roger G Grimball, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

011615 Issued in LA

Practice address

920 1St Ave
Sulphur, LA 70663-3425

Phone

(337) 527-6301

Fax

(337) 527-9194

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Grimball & Richert Clinic

  • Family Medicine Physician
  • Sulphur, LA
  • NPI 1194717892
  NPD Authorized official

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366444093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633425",
            "telephone_number": "337-527-6301",
            "fax_number": "337-527-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633425",
            "telephone_number": "337-527-6301",
            "fax_number": "337-527-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMBALL",
        "first_name": "ROGER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "011615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121177",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cammie Goodeaux, SLP
• Jeremy Gormly, CRNA
• Krysta Gould
• Jadah Granger, APRN
• Grimball & Richert Clinic
• Roger Glen Grimball Jr., D.D.S.
• Virginia Nocilla Grimball, DDS
• Brett Gschwend, D.C.
• Jackie Lynn Guidry, NP
• Kevin Michale Guilbeaux, PT

• Family Medicine Physician in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.