Individual
JEREMY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 VESTAVIA PKWY STE 406, VESTAVIA, AL 35216-3763
(205) 201-0640
Mailing address
400 VESTAVIA PKWY STE 406, VESTAVIA, AL 35216-3763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27457
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036762
—
DE
Enumeration date
01/03/2006
Last updated
09/05/2025
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