MR. ROGER CORDIAL PAC NPI 1063402006

NPI Information

  • NPI: 1063402006
  • Provider Name: MR. ROGER CORDIAL, PAC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 724 S HORNER BLVD
    SANFORD, NC
    ZIP 27330
  • Phone: (919) 776-6767

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NPI Details

MR. Roger Cordial, PAC is a medical physician assistant in Sanford, NC. MR. Roger Cordial, PAC NPI is 1063402006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

724 S HORNER BLVD
SANFORD, NC
ZIP 27330-822
Phone: (919) 776-6767
Fax: (919) 776-6773

The NPI 1063402006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 4/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical102171NORTH CAROLINAYes
2363AM0700XPhysician AssistantMedicalPA9102837FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
134771OTHERFLORIDAGROUP MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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