Healthcare Provider Details

I. General information

NPI: 1720286487
Provider Name (Legal Business Name): LEE HARTWELL ROGERS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 25TH AVE N STE 1204
NASHVILLE TN
37203-1620
US

IV. Provider business mailing address

210 25TH AVE N STE 1204
NASHVILLE TN
37203-1620
US

V. Phone/Fax

Practice location:
  • Phone: 615-312-0600
  • Fax: 615-312-0600
Mailing address:
  • Phone: 615-312-0600
  • Fax: 615-320-3259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME172683
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number231251
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number22219
License Number StateND
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number43631
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: