Roger Neal Bise, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

N-8072 Issued in AR

Practice address

2713 S 74TH St
Suite 302
Fort Smith, AR 72903-5170

Phone

(479) 478-8555

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: bise.roger.001.0040025@robi.meditab.direct-ci.com

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1649236852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST",
            "address_2": "SUITE 302",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035170",
            "telephone_number": "479-478-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST",
            "address_2": "SUITE 302",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035170",
            "telephone_number": "479-478-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISE",
        "first_name": "ROGER",
        "middle_name": "NEAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AR",
            "license": "N-8072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148093002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "17633000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00702260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Binz
• Catelyn Bird
• Kayla Bird, MHPP/QBHP
• Jacob Bischoff
• Cygnet A Bise
• Ashley Bishop
• Matthew Christian Bittle, DDS
• Carita Black, PHARMD
• Jeffrey Allen Black, P.D.
• Jeffry S Blackwell, M.D.

• Plastic and Reconstructive Surgery Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Plastic and Reconstructive Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.