Individual provider Active NPI

Neal Lawerance Rogers, MD

  • Otolaryngology Physician
  • Butte, MT
National Provider Identifier
1629287727
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
207Y00000X Issued in MT
Practice address
202 S Montana St
Butte, MT 59701-1646
Phone
(406) 723-6526
Fax
(406) 782-9712
NPI assigned
May 22, 2007
Last updated
Jul 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 207Y00000X MT Primary

Addresses

Primary practice location

202 S Montana St
Butte, MT 59701-1646

Mailing address

202 S Montana St
Butte, MT 59701-1646
Phone (406) 723-6526

Other identifiers 1

IdentifierTypeStateIssuer
0043823MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118000668 MT Practitioner - Otolaryngology 5496719437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207Y00000XMTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1629287727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S MONTANA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011646",
            "telephone_number": "406-723-6526",
            "fax_number": "406-782-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MONTANA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011646",
            "telephone_number": "406-723-6526",
            "fax_number": "406-782-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "NEAL",
        "middle_name": "LAWERANCE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "207Y00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0043823",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.