Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. William Bradley Roth, MD

Individual provider Urology Physician · NPI 1215934187

Dr. William Bradley Roth, MD is an Urology in Lafayette, Louisiana. Graduated from Tulane University School of Medicine in 1997, 29 years ago. Practices with Southern Urology LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
29
Trained at
Tulane University School of Medicine
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 W Pinhook Rd Ste 304
Lafayette, LA 70503-2460
Phone: (337) 289-9155
Fax: (337) 289-9585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 14924R (LA)

Record details

NPI number1215934187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2005
Last updated in NPPESFebruary 10, 2011

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Southern Urology Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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