Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Roger John Charboneau, D.O.

Sports Medicine (Orthopaedic Surgery) Physician in Ada, OK · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609862689

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Registry record

Entity type Individual (Type 1)

Name Dr. Roger John Charboneau

Credential D.O.

Sex Male

Practice address Ada, OK, 74820

Phone (580) 559-0510

Fax (580) 272-2715

Enumeration date Sep 23, 2005

Last updated in NPPES Aug 10, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians · License 4037 (OK) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
200009440A	Medicaid	OK	-
611692300	Other	OK	OWCP
P00212246	Other	OK	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Roger Charboneau?

Roger Charboneau is registered in NPPES with the primary taxonomy of Sports Medicine (Orthopaedic Surgery) Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-10.