# ROGER ROBERT BARRETTE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063497865
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | MD026941E | PA | — |
| 2086S0127X | Trauma Surgery Physician | MD026941E | PA | Yes |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 12/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011418810007 | — | PA |
| 05 | — | 03196774 | — | NY |
| 05 | — | 2007428000 | — | WV |
| 05 | — | 626040 | — | OH |