Physician Compare National (NPI:1922127950)

HEALTHCARE PROVIDER: MARK BRANDON ROGERS DO

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

Individual Professional Information
NPI	1922127950
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244324002
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070924000695
	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	MARK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SPORTS MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ACADEMIC PRIMARY CARE ASSOCIATES
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3678571866
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1691 INNOVATION DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2100
	Group Practice or individual's line 2 address
City	BLACKSBURG
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	240606618
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5402328405
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y