Active NPI
Rocky Mountain PM&R LLC
- Physical Medicine & Rehabilitation Physician
- Casper, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ROCKY MOUNTAIN PM&R LLC
- Practice address
- 5880 Enterprise Ste 400
Casper, WY 82609-4295 - Phone
- (307) 333-6567
- Fax
- (307) 333-6569
- NPI assigned
- Jul 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos L Buckner, MD
- Title
- Physician / Owner
- Phone
- (307) 333-6567
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
5880 Enterprise Ste 400
Casper, WY 82609-4295
Mailing address
PO Box 2170
Mills, WY 82644-2170
Phone (307) 333-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2166936 | Rocky Mountain PM&R | Certificate of waiver | May 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
5880 Enterprise
Ste 400
Casper, WY 82609
Phone (307) 333-6567
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Casper, WY
- NPI 1598945214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1679851570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2170",
"city": "MILLS",
"state": "WY",
"postal_code": "826442170",
"telephone_number": "307-333-1620",
"fax_number": "307-242-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 ENTERPRISE STE 400",
"city": "CASPER",
"state": "WY",
"postal_code": "826094295",
"telephone_number": "307-333-6567",
"fax_number": "307-333-6569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN PM&R LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-26",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "BUCKNER",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN / OWNER",
"authorized_official_telephone_number": "307-333-6567",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
- Rocky Mountain Holdings, LLC (Wyoming Life Flight)
- Rocky Mountain Infectious Diseases P C
- Rocky Mountain Mobility Sales and Service
- Rocky Mountain Oncology Center, LLC (Rocky Mountain Oncology Center)
- Rocky Mountain Pain Management LLC
- Rocky Mountain Therapy LLC (Rocky Mountain Therapy)
- Rodney C Hill DDS PC
- Brianne Rodrick
- Molly Florence Rodrick, FNP- BC
- April Marie Rodriguez, CCMA, CPT, CNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.