Physician Compare National (NPI:1720092331)

HEALTHCARE PROVIDER: HERBERT GRAHAM ROGERS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1720092331
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305738576
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040325000372
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROGERS
	Individual professional last name
Provider First Name	HERBERT
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Name Suffix Text	IV
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1036 W DR
	Group Practice or individual's line 1 address
City	LAUREL
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	394404706
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6014253191
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTH CENTRAL REG MED CTR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250094
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERIT HEALTH WESLEY
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	251325
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COVINGTON COUNTY HOSPITAL CAH
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	250019
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL HOSPITAL AT GULFPORT
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y