IndividualActive
Jerry Boggs, M.D.
NPI 1003890153 · Neurology Physician · Roseburg, OR
Provider details
- NPI number
- 1003890153
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD20969 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1741 West Harvard Ave
Roseburg, OR 97471-2716
Phone: (541) 440-5320
Fax: (541) 440-5322
Street-level locationGet directions
Mailing address
Po Box 1700
Roseburg, OR 97470-0414
Registry dates
- Enumerated
- 2005-12-02
- Last updated
- 2015-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.