ROGER ROBERT BARRETTE MD NPI 1063497865

NPI Information

  • NPI: 1063497865
  • Provider Name: ROGER ROBERT BARRETTE, MD
  • Classification: Surgery - 2086S0127X
  • Specialization: Trauma Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1033 BREEZEWOOD DRIVE
    CANONSBURG, PA
    ZIP 15317
  • Phone: (412) 335-9557

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NPI Details

Roger Robert Barrette, MD is a trauma surgery surgery in Canonsburg, PA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. Roger Robert Barrette, MD NPI is 1063497865. 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:

1033 BREEZEWOOD DRIVE
CANONSBURG, PA
ZIP 15317
Phone: (412) 335-9557

The NPI 1063497865 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 12/14/2005 and was last updated on 12/6/2012.

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
1208600000XSurgeryMD026941EPENNSYLVANIANo
22086S0127XSurgeryTrauma SurgeryMD026941EPENNSYLVANIAYes

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
103196774MEDICAIDNEW YORK
20011418810007MEDICAIDPENNSYLVANIA
3626040MEDICAIDOHIO
4192735NDXMEDICARE PINPENNSYLVANIA
5C03075MEDICARE UPIN
62007428000MEDICAIDWEST VIRGINIA

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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