MEDICARE: DR. BRIAN ANTHONY 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	207L00000X	Anesthesiology Physician	ME170624	FL
2	207L00000X	Anesthesiology Physician	291062	NY
3	207L00000X	Anesthesiology Physician	036144738	IL

General Provider Information

NPI Number	:	1174865489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN ANTHONY ROGERS M.D.

Provider Business Mailing Address
First Line	:	2301 ERWIN RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-4699
Country	:	US
Telephone Number	:	919-684-8111
Fax Number	:

Provider Business Practice Location Address
First Line	:	6333 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1907
Country	:	US
Telephone Number	:	954-928-3250
Fax Number	:

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

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	04/20/2026

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