Active NPI
Roger Urbain Bisson, M.D., M.P.H.
- Aerospace Medicine Physician
- El Cajon, CA
National Provider Identifier
1922070572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- G53503
- Practice address
- 15473 Broad Oaks Rd
El Cajon, CA 92021-2573 - Phone
- (619) 922-8197
- Fax
- (619) 438-0107
- NPI assigned
- Feb 6, 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 |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | G53503 | CA | Primary |
Addresses
Primary practice location
15473 Broad Oaks Rd
El Cajon, CA 92021-2573
Mailing address
1136 Windchime Way
Pensacola, FL 32503-2547
Phone (850) 435-9604
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53503 | CA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1922070572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 WINDCHIME WAY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032547",
"telephone_number": "850-435-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15473 BROAD OAKS RD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920212573",
"telephone_number": "619-922-8197",
"fax_number": "619-438-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISSON",
"first_name": "ROGER",
"middle_name": "URBAIN",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "CA",
"license": "G53503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.