Individual provider Active NPI

Brent E Roeder, MD

  • Gastroenterology Physician
  • Topeka, KS
National Provider Identifier
1790794600
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04-31241 Issued in KS
Practice address
720 SW Lane St
Topeka, KS 66606-1539
Phone
(785) 270-4800
Fax
(785) 270-4877
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 04-31241 KS Primary

Addresses

Primary practice location

720 SW Lane St
Topeka, KS 66606-1539

Mailing address

720 SW Lane St
Topeka, KS 66606-1539
Phone (785) 270-4800

Other practice location 1

1325 Research Park Dr
Manhattan, KS 66502-5000
Phone (785) 537-2651

Other practice location 2

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other identifiers 2

IdentifierTypeStateIssuer
067329OtherKSMEDICARE PTAN
200347420AMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address broeder4555@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address broeder4555@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050928000990 KS Practitioner - GastroenterologyPractitioner - Internal Medicine 6800832817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1414 SW 8TH Ave
Topeka, KS 66606-1535
Phone (785) 354-5300

1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

211 E Main St
Carbondale, KS 66414-9607
Phone (785) 836-7111

2601 SW 3Rd St
Topeka, KS 66606-2438
Phone (785) 270-4630

2902 SW Asbury Dr
Topeka, KS 66614-4466
Phone (785) 354-9591

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744

407 E Wyandotte St
Meriden, KS 66512-9460
Phone (785) 484-2803

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 354-9591

720 SW Lane St
Topeka, KS 66606-1539
Phone (785) 270-4800

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

909 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 270-4613

929 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 354-6242

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy242
Upper gastrointestinal (GI) endoscopy for acid reflux336

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust Gastroenterology CurrentSince Jul 1, 2005 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 1, 2005 Accepting new patients

Locations

1325 Research Park Dr
Manhattan, KS 66502
Phone (785) 537-2651

901 SW Garfield Ave
Topeka, KS 66606

720 SW Lane St
Topeka, KS 66606
Phone (785) 270-4800

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Interoperability endpoints

  • Direct secure messaging: broeder4555@stormontvaildirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1790794600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SW LANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061539",
            "telephone_number": "785-270-4800",
            "fax_number": "785-270-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SW LANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061539",
            "telephone_number": "785-270-4800",
            "fax_number": "785-270-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Research Park Dr",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665025000",
            "country_code": "US",
            "telephone_number": "785-537-2651",
            "fax_number": "785-539-0177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "BRENT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "04-31241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "067329",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347420A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "broeder4555@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "720 SW Lane St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "broeder4555@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "720 SW Lane St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.