Dr. Roger L. Brotman , MD
Specialist • Providence, RI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Brotman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roger Brotman, MD was a registered Specialist practicing in Providence, RI. Throughout an active medical career spanning 20 years, Dr. Brotman provided care at the practice location at 825 N MAIN ST until profile deactivation on 2025-11-06.
Practice Location & Contact Primary Location
825 N Main St
Providence, RI 029045707
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Providence, RI
Practicing in Providence, RI (216 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 06, 2025
NPI status registered as active in NPPES database
Registered at 825 N MAIN ST, PROVIDENCE, RI 029045707 (Tel: 4015219700)
Registered at 825 N MAIN ST, PROVIDENCE, RI 029045707 (Tel: 4015219700)
Recorded as ROGER BROTMAN, M.D.
Specialist (License #05415 in RI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
825 N Main St
Providence, RI 029045707
Phone: 4015219700
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