MEDICARE: RICHARD EARL ROGERS MD

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	207RG0100X	Gastroenterology Physician	G8384	TX

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	:	1598837684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD EARL ROGERS MD

Provider Business Mailing Address
First Line	:	2701 HOSPITAL DR
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-5748
Country	:	US
Telephone Number	:	361-582-5771
Fax Number	:	361-582-5743

Provider Business Practice Location Address
First Line	:	2705 HOSPITAL DR STE 402
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-5777
Country	:	US
Telephone Number	:	361-582-5711
Fax Number	:	361-582-5712

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	02/03/2026

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