Active NPI
Clifford Bruce Rotton, D.O., FACOS
- Surgery Physician
- Branson, MO
National Provider Identifier
1922056985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R2E35
- Practice address
- 545 Branson Landing Blvd
Suite 312
Branson, MO 65616-4500 - Phone
- (417) 348-8080
- Fax
- (417) 335-7588
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R2E35 | MO | Primary |
Addresses
Primary practice location
545 Branson Landing Blvd
Suite 312
Branson, MO 65616-4500
Mailing address
545 Branson Landing Blvd
Suite 312
Branson, MO 65616-4500
Phone (417) 348-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922056985 | Medicaid | MO | |
| 124513 | Other | MO | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- c.rotton@cernerdirect.coxhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1922056985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 BRANSON LANDING BLVD",
"address_2": "SUITE 312",
"city": "BRANSON",
"state": "MO",
"postal_code": "656164500",
"telephone_number": "417-348-8080",
"fax_number": "417-335-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 BRANSON LANDING BLVD",
"address_2": "SUITE 312",
"city": "BRANSON",
"state": "MO",
"postal_code": "656164500",
"telephone_number": "417-348-8080",
"fax_number": "417-335-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTTON",
"first_name": "CLIFFORD",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.O., FACOS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R2E35",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922056985",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "124513",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.