MEDICARE: DAVID A ROGERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0120X	Pediatric Surgery Physician	31986	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043206097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A ROGERS M.D.

Provider Business Mailing Address
First Line	:	FOT 1207
Second Line	:	1720 2ND AVE S
City	:	BIRMINGHAM
State	:	AL
Zip	:	35294-3412
Country	:	US
Telephone Number	:	205-934-8744
Fax Number	:	205-934-8777

Provider Business Practice Location Address
First Line	:	FOT 1207
Second Line	:	1720 2ND AVE S
City	:	BIRMINGHAM
State	:	AL
Zip	:	35294-3412
Country	:	US
Telephone Number	:	205-934-8744
Fax Number	:	205-934-8777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	07/24/2013

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Directions to “ DAVID A ROGERS M.D.” Practice Location

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