BRYAN ROGERS DMD
NPI 1770071946
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 24, 2018Opted out of Medicare · through Feb 26, 2028
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bryan Rogers Dmd NPPES

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

BRYAN ROGERS DMD (NPI 1770071946) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2018. He has opted out of Medicare through February 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770071946
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYAN ROGERSCredential: DMD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Sole ProprietorNo
Enumeration DateApril 24, 2018
NPI 1770071946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Bryan Rogers Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 26, 2026 through February 26, 2028.

Opt-Out Effective DateFebruary 26, 2026
Opt-Out In Effect ThroughFebruary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Bryan Rogers's NPI number?

The NPI number for Bryan Rogers is 1770071946. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Bryan Rogers located?

Bryan Rogers practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Bryan Rogers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bryan Rogers enrolled in Medicare?

No. Bryan Rogers has opted out of Medicare through February 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bryan Rogers was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.