OrganizationActive
Centennial Medical Group, Inc
NPI 1225207152 · Urology Physician · Roseburg, OR
Centennial Medical Group, Inc is a Urology Physician organization in Roseburg, OR (NPI 1225207152).
Provider details
- NPI number
- 1225207152
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Gray, President(541) 677-2494
- License
- 497634-93 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2460 Nw Stewart Parkway,
Suite 100
Roseburg, OR 97471
Phone: (541) 677-6141
Fax: (541) 677-6143
Street-level locationGet directions
Mailing address
P.o. Box 910
Roseburg, OR 97470
Other names (DBA / former)
- Doing business as
- Dba Roseburg Urology
Registry dates
- Enumerated
- 2008-02-25
- Last updated
- 2012-04-04
Frequently asked questions
- What is Centennial Medical Group, Inc's NPI number?
- Centennial Medical Group, Inc's National Provider Identifier (NPI) is 1225207152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centennial Medical Group, Inc?
- Centennial Medical Group, Inc is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Centennial Medical Group, Inc located?
- Centennial Medical Group, Inc's practice location on file with NPPES is 2460 Nw Stewart Parkway,, Roseburg, OR 97471.
- What is Centennial Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Centennial Medical Group, Inc is (541) 677-6141.
- Who is the authorized official for Centennial Medical Group, Inc?
- The authorized official listed on Centennial Medical Group, Inc's NPPES record is Jason Gray, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centennial Medical Group, Inc's NPI active?
- Yes — Centennial Medical Group, Inc's NPI (1225207152) is active in the NPPES registry as of the last update on 2012-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.