Active NPI
Loddie F. Roeder Jr., M.D.
- Orthopaedic Surgery Physician
- New Braunfels, TX
National Provider Identifier
1891723151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E6589
- Practice address
- 189 E Austin St Ste 101
New Braunfels, TX 78130-4170 - Phone
- (830) 629-0002
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E6589 | TX | Primary |
Addresses
Primary practice location
189 E Austin St Ste 101
New Braunfels, TX 78130-4170
Mailing address
189 E Austin St Ste 101
New Braunfels, TX 78130-4170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E6589 | Other | TX | STATE LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Braunfels Sports & Spine Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- New Braunfels, TX
- NPI 1891817714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1891723151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 E AUSTIN ST STE 101",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 E AUSTIN ST STE 101",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304170",
"telephone_number": "830-629-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDER",
"first_name": "LODDIE",
"middle_name": "F.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E6589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E6589",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.