Roy Burton Verdery III, PH.D., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

PB3541 Issued in AZ

Practice address

5322 N Via Entrada
Tucson, AZ 85718-4827

Phone

(520) 349-6362

NPI assigned

Oct 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Tuba City Regional Health Care Corporation

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  Internal Medicine, TX

  Medicare reassignment NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Cameron, AZ
  • NPI 1134382211

  Internal Medicine

  NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1487730776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5322 N VIA ENTRADA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184827",
            "telephone_number": "520-349-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 N VIA ENTRADA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184827",
            "telephone_number": "520-349-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDERY",
        "first_name": "ROY",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G85923",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "20913",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "PB3541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G859230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verant Chiropractic, Inc.
• Michael E. Verant, D.C
• Jill R Verbridge, NP
• David Allen Vercel, FNP-C
• Verdant Mental Health
• Christina Marie Verdugo, COTA/L
• Diana Verdugo, FNP
• Herman David Verdugo, RPH
• Lorena Andrea Verdugo, CHW, BA, MS
• Martin Verdugo, HIS

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.

Verify at the official NPI Registry.