MEDICARE: JEREMY 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	207P00000X	Emergency Medicine Physician	27457	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	:	1730167446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY ROGERS MD

Provider Business Mailing Address
First Line	:	400 VESTAVIA PKWY STE 406
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3763
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 VESTAVIA PKWY STE 406
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3763
Country	:	US
Telephone Number	:	205-201-0640
Fax Number	:

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	09/05/2025

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