MEDICARE: DR. GAYLON RENARD 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	207X00000X	Orthopaedic Surgery Physician	00006106	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	515-48812	OTHER	AL	BCBS - UAB SURGERY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	25139	OTHER	AL	BCBS BROOKWOOD
4	25531	OTHER	AL	BCBS UAB
5	515-44455	OTHER	AL	BCBS - BROOKWOOD SURGERY
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437126497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAYLON RENARD ROGERS M.D.

Provider Business Mailing Address
First Line	:	2018 BROOKWOOD MEDICAL CTR DR
Second Line	:	PROFESSIONAL OFFICE BUILDING SUITE 315
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6898
Country	:	US
Telephone Number	:	205-877-2747
Fax Number	:	205-877-2526

Provider Business Practice Location Address
First Line	:	2018 BROOKWOOD MEDICAL CTR DR
Second Line	:	PROFESSIONAL OFFICE BUILDING SUITE 315
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6898
Country	:	US
Telephone Number	:	205-877-2747
Fax Number	:	205-877-2526

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/07/2008

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Directions to “ DR. GAYLON RENARD ROGERS M.D.” Practice Location

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