Individual provider Active NPI

Jeremy Rogers, MD

  • Emergency Medicine Physician
  • Vestavia, AL
National Provider Identifier
1730167446
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27457 Issued in AL
Practice address
400 Vestavia Pkwy Ste 406
Vestavia, AL 35216-3763
Phone
(205) 201-0640
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27457 AL Primary

Addresses

Primary practice location

400 Vestavia Pkwy Ste 406
Vestavia, AL 35216-3763

Mailing address

400 Vestavia Pkwy Ste 406
Vestavia, AL 35216-3763

Other identifiers 1

IdentifierTypeStateIssuer
1000036762MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20061011000645 AL Practitioner - Preventive MedicinePractitioner - Emergency Medicine 0244270908 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27457ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burandt Precision Medicine, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

400 Vestavia Pkwy
Ste 406
Vestavia, AL 35216
Phone (205) 379-0995

Interoperability endpoints

  • Direct secure messaging: jeremy.rogers.1@34090.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1730167446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VESTAVIA PKWY STE 406",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VESTAVIA PKWY STE 406",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163763",
            "telephone_number": "205-201-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JEREMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "27457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036762",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.