NPIMap

Individual provider Active NPI

Brian David Rogers, DO

  • Family Medicine Physician
  • Moneta, VA
National Provider Identifier
1801419940
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102207851 Issued in VA
Practice address
CMG Village-Main
4830 Rucker Road
Moneta, VA 24121-5281
Phone
(540) 297-7181
Fax
(540) 297-6145
NPI assigned
May 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ED0921A WV
Family Medicine Physician 207Q00000X 0102207851 VA Primary

Addresses

Primary practice location

CMG Village-Main
4830 Rucker Road
Moneta, VA 24121-5281

Mailing address

CMG Village-Main
4830 Rucker Road
Moneta, VA 24121-5281
Phone (540) 297-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830004395 VA Practitioner - Family Practice 6901269471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

4830 Rucker Rd
Moneta, VA 24121-5281
Phone (540) 297-7181

Hospital & facility affiliations

  • Centra Home Health Home health agency, Lynchburg, VA, CCN 497278
  • Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Centra Bedford Memorial Hospital Hospital, Bedford, VA, CCN 490088

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102207851VAMDFamily Medicine Physician
ED0921AWVMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

115 Ambriar Plz
Amherst, VA 24521
Phone (434) 381-6090

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

800 5th St
Lynchburg, VA 24504
Phone (434) 200-3366

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

4830 Rucker Rd
Moneta, VA 24121
Phone (540) 297-7181

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 10

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": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1801419940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CMG VILLAGE-MAIN",
            "address_2": "4830 RUCKER ROAD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215281",
            "telephone_number": "540-297-7181",
            "fax_number": "540-297-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CMG VILLAGE-MAIN",
            "address_2": "4830 RUCKER ROAD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215281",
            "telephone_number": "540-297-7181",
            "fax_number": "540-297-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-23",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WV",
            "license": "ED0921A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moneta, VA

Sources for this page

Verify at the official NPI Registry.