Charles Gilbert Rogers Jr., M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

019135 Issued in LA

Practice address

20404 Mitch Rd
Bogalusa, LA 70427-8844

Phone

(985) 750-9288

Fax

(985) 735-1205

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Angie Medical Clinic,LLC

  • Legal Medicine
  • Angie, LA
  • NPI 1205866027
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1902938657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20404 MITCH RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704278844",
            "telephone_number": "985-750-9288",
            "fax_number": "985-735-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20404 MITCH RD",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704278844",
            "telephone_number": "985-750-9288",
            "fax_number": "985-735-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "CHARLES",
        "middle_name": "GILBERT",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "019135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376345",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Lynette Robertson
• Rosalyn Robinson Smith
• Derrick Robinson
• Rocky'S Med Shoppe, LLC
• Rogelio a. Casama, MD, Apmc
• Dana N. Rosser, P.T.
• Bernardo Antonio Ruiz-Calderon, MD
• Rural Behavioral Health Services, LLC
• Anthony George Saliba, MD
• Jade Sanders

• General Practice Physician in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.