Julie L Roth
MD | Neurology - Clinical Neurophysiology | 22+ years Exp
593 Eddy St, Apc-5, Providence
Rhode Island, 02903-4923
401-444-3032 401-444-3205
Maps & DirectionsJulie L Roth is a Providence, Rhode Island based neurologist with 22 years of experience in Clinical Neurophysiology. She completed her graduation from Warren Alpert Medical School Of Brown University in 2004. She is also affiliated with hospitals like and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Julie L Roth is MD12830 for Clinical Neurophysiology in Rhode Island. Her current practice location is 593 Eddy St, Apc-5, Providence. Patients can reach her at 401-444-3032 or can fax her at 401-444-3205. Julie L Roth is MD in Clinical Neurophysiology and her NPI number (Unique professional ID assigned by NPPES) is 1063673713.
Julie L Roth is subspecialized with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Complete Profile:
Julie L Roth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Julie L Roth |
| Specialization: | Clinical Neurophysiology |
| Gender: | Female |
| Credentials: | MD |
| Experience: | 22+ years |
| Medical School Attended: | Warren Alpert Medical School Of Brown University |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 593 Eddy St, Apc-5, Providence,
Rhode Island, 02903-4923 |
| Phone: | 401-444-3032 |
| Fax: | 401-444-3205 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5991856007 |
| Enrollment ID: | I20090701000433 |
| NPI Number: | 1063673713 |
| NPI Enumeration Date: | 24 Jun, 2008 |
| NPI Last Update On: | 18 Dec, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Julie L Roth are as mentioned below.
| License Number | Specialization | State | Status | |
| MD12830 | Clinical Neurophysiology | Rhode Island | Primary | |
| MD12830 | Neurology | Rhode Island | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (410007) | Providence, RI | Acute Care Hospital |
| (410012) | Providence, RI | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Julie L Roth is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Brown Neurology (2163312869) | 18 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Julie L Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1063673713 | Medicaid | Rhode Island | |
| 110084239A | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Julie L Roth
15 La Salle Sq,
Providence, Rhode Island |
| Zip: | 02903-1814 |
| Phone Number: | 401-444-6779 |
| Fax Number: | 401-444-6912 |
Patients can reach Julie L Roth at
593 Eddy St, Apc-5, Providence, Rhode Island or can
call to book an appointment on 401-444-3032.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.