Active NPI
Joshua Joseph Rodgers, M.D.
- Behavioral Neurology & Neuropsychiatry Physician
- Edwards, CO
National Provider Identifier
1477879237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- License
- DR.0064434
- Practice address
- 2205 Cordillera Way
Edwards, CO 81632-6290 - Phone
- (970) 693-0015
- NPI assigned
- Apr 19, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | P9713 | TX | |
| Psychiatry Physician | 2084P0800X | DR.0064434 | CO | |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | DR.0064434 | CO | Primary |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | P9713 | TX |
Addresses
Primary practice location
2205 Cordillera Way
Edwards, CO 81632-6290
Mailing address
2205 Cordillera Way
Edwards, CO 81632-6290
Phone (970) 693-0015
Other practice location 1
1360 Walnut St Ste 110
Boulder, CO 80302-5399
Phone (303) 848-3635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9713 | TX | MD | Behavioral Neurology & Neuropsychiatry Physician |
| DR.0064434 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Reach Center, Inc | Current | Accepting new patients | |
| Community Reach Center, Inc | Current | Accepting new patients | |
| Edwards Medical Provider Group | Psychiatry | Past | Accepting new patients |
Locations
8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433
1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 853-3800
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Thornton, CO
- NPI 1316906886
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Broomfield, CO
- NPI 1841887056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1477879237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 CORDILLERA WAY",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816326290",
"telephone_number": "970-693-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 CORDILLERA WAY",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816326290",
"telephone_number": "970-693-0015"
}
],
"practiceLocations": [
{
"address_1": "1360 Walnut St Ste 110",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803025399",
"country_code": "US",
"telephone_number": "303-848-3635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODGERS",
"first_name": "JOSHUA",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P9713",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0064434",
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "CO",
"license": "DR.0064434",
"primary": true
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "TX",
"license": "P9713",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.