Active NPI
Bruce J Rogers, MD
- Endocrinology, Diabetes & Metabolism Physician
- Gainesville, FL
National Provider Identifier
1528056678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- FLME0043684
- Practice address
- 4739 NW 53Rd Ave
#A
Gainesville, FL 32653-4800 - Phone
- (352) 371-9847
- Fax
- (352) 371-9526
- NPI assigned
- Oct 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | FLME0043684 | FL | Primary |
Addresses
Primary practice location
4739 NW 53Rd Ave
#A
Gainesville, FL 32653-4800
Mailing address
4739 NW 53Rd Ave
#A
Gainesville, FL 32653-4800
Phone (352) 371-9847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01409 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLME0043684 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1528056678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4739 NW 53RD AVE",
"address_2": "#A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326534800",
"telephone_number": "352-371-9847",
"fax_number": "352-371-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4739 NW 53RD AVE",
"address_2": "#A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326534800",
"telephone_number": "352-371-9847",
"fax_number": "352-371-9526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "BRUCE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "FLME0043684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "01409",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.