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

Mr. Charles Lewis Rogers, OPA-C

Individual provider Surgical Assistant · NPI 1235258260

Mr. Charles Lewis Rogers, OPA-C is a Surgical Assistant in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8111
Phone: (309) 663-6461
Fax: (309) 663-5711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 238.000269 (IL)

Record details

NPI number1235258260
Entity typeIndividual (Type 1)
GenderMale
Credentials OPA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJanuary 9, 2017

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