Provider Demographics
NPI:1720070642
Name:ROPER, GERALD JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:JAMES
Last Name:ROPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 STATE ROAD 229
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-6808
Mailing Address - Country:US
Mailing Address - Phone:812-209-9050
Mailing Address - Fax:
Practice Address - Street 1:1049 STATE ROAD 229 N
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-6808
Practice Address - Country:US
Practice Address - Phone:812-934-9400
Practice Address - Fax:812-933-0913
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043840207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
74708OtherHUMANA
IN000000352907OtherANTHEM
IN200189850Medicaid
0801868OtherUNITED HEALTHCARE
3521526086A0OtherPARAGON HEALTH
IN180043678OtherRAILROAD MEDICARE