Individual
NICHOLAS ALAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
7301 SOLUTION CTR, LOCKBOX 777301, CHICAGO, IL 60677-7003
(800) 741-4250
(317) 962-5580
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01069473A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720130
ANTHEM
IN
05
—
201019040
—
IN
01
—
BP1-0022675
INSTITUTIONAL PERMIT
—
Enumeration date
05/22/2007
Last updated
03/05/2025
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