Provider Demographics
NPI:1154491785
Name:ROGERS, DENIS PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:PATRICK
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S HENDERSON RD
Mailing Address - Street 2:STE 308C
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406
Mailing Address - Country:US
Mailing Address - Phone:610-337-3111
Mailing Address - Fax:610-337-3506
Practice Address - Street 1:700 S HENDERSON RD
Practice Address - Street 2:STE 308C
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406
Practice Address - Country:US
Practice Address - Phone:610-337-3111
Practice Address - Fax:610-337-3506
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063901L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1136445OtherKEYSTONE MERCY
PA0018232550001Medicaid
PA2496150OtherAETNA
PA250013933OtherRAILROAD MEDICARE
PA000079882OtherBCBS PERSONAL CHOICE
PA0072688000OtherKEYSTONE HPE
PA5508316OtherCIGNA
PA000079882OtherBCBS PERSONAL CHOICE
043656MFFMedicare ID - Type Unspecified