MR. ROGER CORDIAL PAC
NPI 1063402006
Physician Assistant - Medical in Sanford, NC

Active since October 21, 2005
724 S HORNER BLVD, SANFORD, NC 27330(919) 776-6767(919) 776-6773 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Roger Cordial Pac NPPES

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

MR. ROGER CORDIAL PAC (NPI 1063402006) is an individual medical provider in Sanford, North Carolina, licensed in North Carolina (102171) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1063402006
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ROGER CORDIALCredential: PAC
Location Address724 S HORNER BLVDSanford, NC 27330-4822
Mailing Address724 S Horner BlvdSanford, NC 27330-4822 · (919) 776-6767 · Fax (919) 776-6773
Fax(919) 776-6773
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1063402006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in NC · 102171 Licensed in FL · PA9102837
724 S HORNER BLVD, Sanford, NC 27330

Other Identifiers 1

Other34771FL · Group Medicare

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
724 S HORNER BLVD
SANFORD, NC 27330
Physician Assistant
724 S HORNER BLVD
SANFORD, NC 27330
Nurse Practitioner (Family)
724 S HORNER BLVD
SANFORD, NC 27330
Physician Assistant
724 S HORNER BLVD
SANFORD, NC 27330
Physician Assistant
724 S HORNER BLVD
SANFORD, NC 27330
Physician Assistant
724 S HORNER BLVD
SANFORD, NC 27330

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 Roger Cordial's NPI number?

The NPI number for Roger Cordial is 1063402006. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Roger Cordial located?

Roger Cordial practices at 724 S Horner Blvd, Sanford, NC 27330. The listed phone number is (919) 776-6767.

What is Roger Cordial's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Roger Cordial was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.