IndividualActive
Jerry Boggs, M.D.
NPI 1003890153 · Neurology Physician · Roseburg, OR
Jerry Boggs, M.D. is a Neurology Physician provider in Roseburg, OR (NPI 1003890153).
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)
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.