MR. ROGER CORDIAL (PAC) – Medical Physician Assistant, NPI 1063402006

Medical Physician Assistant

MR. ROGER CORDIAL (PAC) is a healthcare provider. based in Bradenton, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA9102837 (FL). The NPI Number for MR. ROGER CORDIAL (PAC) is 1063402006

Main info

Male

44 Years Of Experience

Accepts Medicare Assignment

Name

MR. ROGER CORDIAL (PAC)

NPI

1063402006

Phone

(941) 580-5745

Address

322 WINDING BROOK LN UNIT 104

Enumeration Date

21 October 2005

Last Update Date

5 April 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9108179200

Graduation Year

1982 (44 years ago)

PAC ID

7113812975

Group Practice PAC ID

9133301989

Professional Enrollment ID

I20040219000623

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience73

Completeness75

Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MR. ROGER CORDIAL (PAC)

322 WINDING BROOK LN UNIT 104
BRADENTON, FL 342128213
Phone: (941) 580-5745
Type: Mailing
315, 75th Street West, Bradenton, Manatee County, Florida, 34209, United States
PINNACLE URGENT CARE
BRADENTON, FL 34209
Phone: (941) 761-1616
Fax: (941) 761-3807
Type: Location
724 S HORNER BLVD
SANFORD, NC 273304822
Phone: (919) 776-6767
Fax: (919) 776-6773
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9133301989View full group profile

Name	Specialty	State
MISS HEIDI FORTE BISHOP (PA-C)	Physician Assistant	NC
MRS. AMANDA BRADLEY JOHNSON (FNP)	-	DC
LYDIA MAYES WASHINGTON (MSN, FNP-C)	-	PA
MS. LAVETTE M SHIRLEY ELEE (PA-C)	-	NC
JAMIE WEBB ROBINSON (PA)	-	NC
TODD A WALLACE (PA-C)	Physician Assistant	NC
SYDNEY RAE GOLDEN (PA-C)	Physician Assistant	NC
CARLTON REID JR. BEAMAN (PA-C)	Physician Assistant	NC
MR. TOD WARD III FRAZER (PA-C)	Physician Assistant	NC
LOIS WILKINSON (M.D.)	Family Practice	NC

Reviews

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Frequently asked questions

What number should I use to identify MR. ROGER CORDIAL (PAC) for billing?

Administrative and clinical systems typically use NPI 1063402006 for MR. ROGER CORDIAL (PAC).

Does the public listing show MR. ROGER CORDIAL (PAC) as active?

MR. ROGER CORDIAL (PAC)'s NPI record reflects an active status in NPPES.

What services align with MR. ROGER CORDIAL (PAC)'s listing?

MR. ROGER CORDIAL (PAC)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

Which community is linked to MR. ROGER CORDIAL (PAC)?

MR. ROGER CORDIAL (PAC) shows a connection to Bradenton, Florida in registry-derived data.

Why is information missing for MR. ROGER CORDIAL (PAC)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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