DR. ROGER GRADY BURRUS M.D.
NPI 1114912656
Specialist in Hendersonville, TN

Q: What is Roger Burrus's NPI number?

The NPI number for Roger Burrus is 1114912656. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Q: What is Roger Burrus's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Roger Burrus was last updated on October 30, 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 September 12, 2005

123 FAIRWAYS DR, HENDERSONVILLE, TN 37075(615) 969-2131 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Roger Grady Burrus M.d. NPPES

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

DR. ROGER GRADY BURRUS M.D. (NPI 1114912656) is an individual specialist in Hendersonville, Tennessee, licensed in Tennessee (20833) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1114912656

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. ROGER GRADY BURRUSCredential: M.D.

Location Address123 FAIRWAYS DRHendersonville, TN 37075-2610

Mailing Address323 Steam Plant RdGallatin, TN 37066-3025 · (615) 452-1060 · Fax (615) 452-5474

Phone(615) 969-2131

Sole ProprietorYes

Enumeration DateSeptember 12, 2005

Last NPPES UpdateOctober 30, 2015

✔ NPI 1114912656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TN · 20833

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

123 FAIRWAYS DR, Hendersonville, TN 37075

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Other Identifiers 3

Medicare ID-Type Unspecified3074639TN

Medicare UPINF59639TN

Medicaid3074639TN

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 Burrus's NPI number?

The NPI number for Roger Burrus is 1114912656. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Roger Burrus located?

Roger Burrus practices at 123 Fairways Dr, Hendersonville, TN 37075. The listed phone number is (615) 969-2131.

What is Roger Burrus's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Roger Burrus was last updated on October 30, 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.