Individual provider Active NPI

Brandon Ellis Rodgers, PH.D.

  • Marriage & Family Therapist
  • Chattanooga, TN
National Provider Identifier
1770816100
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMT0000000847 Issued in TN
Practice address
1101 Carter St
Chattanooga, TN 37402-5017
Phone
(423) 778-6031
NPI assigned
Sep 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMT0000000847 TN Primary

Addresses

Primary practice location

1101 Carter St
Chattanooga, TN 37402-5017

Mailing address

920 Norfolk Green Cir
Chattanooga, TN 37421-8216
Phone (423) 618-1443

Other practice location 1

BSS Department
1120 North Ocoee Street
Cleveland, TN 37311
Phone (423) 618-1443

Other practice location 2

1101 Carter St
Chattanooga, TN 37402-5017
Phone (423) 778-6031

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMT0000000847TNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1770816100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 NORFOLK GREEN CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218216",
            "telephone_number": "423-618-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CARTER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374025017",
            "telephone_number": "423-778-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BSS Department",
            "address_2": "1120 North Ocoee Street",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "37311",
            "country_code": "US",
            "telephone_number": "423-618-1443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Carter St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374025017",
            "country_code": "US",
            "telephone_number": "423-778-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "BRANDON",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT0000000847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.