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DR. RODERICK JOHN FISETTE M.D.
NPI 1477948420
General Practice in Bridge City, TX

Active since April 06, 2015PECOS Enrolled
1200 TURNER DR, BRIDGE CITY, TX 77611(409) 221-1500 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roderick John Fisette M.d. NPPES

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

DR. RODERICK JOHN FISETTE M.D. (NPI 1477948420) is an individual general practice provider in Bridge City, Texas, licensed in Texas (D6746) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477948420
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RODERICK JOHN FISETTECredential: M.D.
Location Address1200 TURNER DRBridge City, TX 77611-2612
Mailing AddressPo Box 296Bridge City, TX 77611-0296 · (409) 221-1500
Phone(409) 221-1500
Sole ProprietorYes
Enumeration DateApril 6, 2015
✔ NPI 1477948420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · D6746
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1200 TURNER DR, Bridge City, TX 77611
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Other Names 1

Professional Name (2)Dr. Roderick John Fisette M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roderick John Fisette M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Roderick Fisette's NPI number?

The NPI number for Roderick Fisette is 1477948420. It was assigned to this individual provider in the NPPES registry on April 6, 2015. The provider is also known as Dr. Roderick John Fisette M.D..

Where is Roderick Fisette located?

Roderick Fisette practices at 1200 Turner Dr, Bridge City, TX 77611. The listed phone number is (409) 221-1500.

What is Roderick Fisette's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Roderick Fisette enrolled in Medicare?

Yes. Roderick Fisette is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roderick Fisette was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.