JERRY D. BOGGS M.D.
NPI 1003890153
Psychiatry & Neurology - Neurology in Roseburg, OR

Q: What is Jerry Boggs's NPI number?

The NPI number for Jerry Boggs is 1003890153. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is Jerry Boggs's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Boggs was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 02, 2005

1741 WEST HARVARD AVE, ROSEBURG, OR 97471(541) 440-5320(541) 440-5322 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerry D. Boggs M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY D. BOGGS M.D. (NPI 1003890153) is an individual neurology provider in Roseburg, Oregon, licensed in Oregon (MD20969) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1003890153

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameJERRY D. BOGGSCredential: M.D.

Location Address1741 WEST HARVARD AVERoseburg, OR 97471-2716

Mailing AddressPo Box 1700Roseburg, OR 97470-0414 · (541) 440-5320 · Fax (541) 440-5322

Phone(541) 440-5320

Fax(541) 440-5322

Sole ProprietorNo

Enumeration DateDecember 2, 2005

Last NPPES UpdateSeptember 10, 2015

✔ NPI 1003890153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in OR · MD20969

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1741 WEST HARVARD AVE, Roseburg, OR 97471

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Other Identifiers 3

Medicaid151137OR

Medicare PINR150532OR

Medicare UPING68914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Boggs's NPI number?

The NPI number for Jerry Boggs is 1003890153. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Jerry Boggs located?

Jerry Boggs practices at 1741 West Harvard Ave, Roseburg, OR 97471. The listed phone number is (541) 440-5320.

What is Jerry Boggs's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Jerry Boggs was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.