Individual provider Active NPI

Clifford Bruce Rotton, D.O., FACOS

  • Surgery Physician
  • Branson, MO
National Provider Identifier
1922056985
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R2E35 Issued in MO
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

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1922056985MedicaidMO
124513OtherMOBLUE 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
Green means eligible to order or refer.

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.