| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRANDON ROLLER | 1083813844 | 2024-07-05 |
Brandon L Roller [M] graduated in 2007 from University Of Missouri, Columbia School Of Medicine and primarily specializes in Diagnostic Radiology.
Brandon Roller is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083813844. Registration indicates Brandon Roller is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| PECOS ID | 244547164 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Brandon Roller M.D., PH.D. |
| Practice Office Address | 1200 HILYARD ST STE 330 EUGENE, OR US |
| Practice Office Telephone | 5413027771 |
| Practice Office Fax | 3367166415 |
| Mailing Address | 445 HARLOW RD STE 200 SPRINGFIELD, OR 974771341 US |
| Business Telephone | 5413027771 |
| Code | Practice | License No State |
|---|---|---|
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 210518
NC |