WILLIAM BRADLEY ROGERS (NPI# 1043463029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043463029 |
| Entity Type | Individual |
| Full Name | WILLIAM BRADLEY ROGERS |
| Credential | M.D. |
| Practice Address |
2340 Knob Creek Rd Suite 720 Johnson City TN 37604-2977 |
| Practice Telephone | 4239266112 |
| Mailing Telephone | 4239266112 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2013-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 49623 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518400860 | William Rogers | Marriage & Family Therapist | 325 Flax Hill Rd, Norwalk, CT 06854-2405 | 2016-11-18 |
| 1407203714 | William Joseph Rogers | Nurse Practitioner | 1340 Belmont Ave Ste 2200, Youngstown, OH 44504-1131 | 2016-05-17 |
| 1881056448 | William Rogers | Registered Nurse | 1148 S Blanca Ave, Boise, ID 83709-1112 | 2016-03-23 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1982969523 | William Barid Rogers | Dentist | 2227 S Garnett Rd Ste 112, Tulsa, OK 74129-5115 | 2012-07-10 |
| 1275783292 | William Herman Rogers | Surgery | 38 Arundel Rd, Annapolis, MD 21401-1206 | 2008-09-26 |
| 1285824458 | William Michael Rogers | Psychologist | 7406 27th St W Ste 31, University Place, WA 98466-4637 | 2007-07-25 |
| 1811199896 | William B. Rogers | Psychiatry & Neurology | 3311 Woods Blvd, Tyler, TX 75707-1657 | 2007-06-01 |
| 1336283894 | William John Rogers | Optometrist | 4307 Renaissance Dr Apt 219, San Jose, CA 95134-2826 | 2007-02-17 |
| 1821151614 | William Rogers | Physical Therapist | 8919 Parallel Pkwy Ste 350, Kansas City, KS 66112-1655 | 2006-12-19 |
| Street Address |
2340 KNOB CREEK RD SUITE 720 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609830504 | Wayne P Tongco | Urology | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604-2100 | 2006-04-17 |
| 1538721501 | Megan Lorraine Wilson | Nurse Practitioner | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604 | 2019-07-01 |
| 1750771770 | Ashley Skelton | Nurse Practitioner | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604 | 2015-01-28 |
| 1801920061 | Lincoln Todd Olsen | Urology | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604-2100 | 2007-03-16 |
| 1427013044 | Grant D Taylor | Urology | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604-2100 | 2006-04-18 |
| 1992760516 | David A Beaird | Urology | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604-2100 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962443226 | James Marion Wilson | Urology | James Quillen Medical Center, Moutain Home Va, Johnson City, TN 37684 | 2006-06-09 |
| 1609830504 | Wayne P Tongco | Urology | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604-2100 | 2006-04-17 |
| 1801920061 | Lincoln Todd Olsen | Urology | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604-2100 | 2007-03-16 |
| 1144317181 | John Mark Kolski | Urology | James H. Quillen/vamc, Corner of Sidney and Lamont, Johnson City, TN 37684 | 2006-10-10 |
| 1952310815 | Natwar Kumar Pareek | Urology | 30 Harrison St, Suite 460, Johnson City, NY 13790-2161 | 2006-08-07 |
| 1932159472 | David W Jones | Urology | 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 | 2006-05-12 |
| 1710936257 | East Tennessee Urologic Associates | Urology | 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 | 2006-05-10 |
| 1306895727 | Bill N Boswell | Urology | 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 | 2006-05-10 |
| 1427013044 | Grant D Taylor | Urology | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604-2100 | 2006-04-18 |
| 1467417089 | Thomas B Mcginnis | Urology | 300 W Watauga Ave, Johnson City, TN 37604-5549 | 2006-04-18 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.