Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Randall W Rodgers, DO

Individual provider Family Medicine Physician · NPI 1104852888

Dr. Randall W Rodgers, DO is a Family Practice in Tyler, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 1981, 45 years ago. Practices with Carefirst Medical Associates and Pain Rehabilitation, PA, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
45
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

13027 State Highway 155 S
Tyler, TX 75703-6560
Phone: (903) 839-1000
Fax: (903) 839-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence G0020 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence G0020 (TX)

Record details

NPI number1104852888
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address13027 State Highway 155 S, Tyler, TX 75703-6560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesINTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Carefirst Medical Associates And Pain Rehabilitation, Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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