To apply as a physician or a member of a physician’s practice, we will need the following information:

  • National Provider Index (NPI)
  • Office’s Primary Mailing Address
  • Email Address
  • Primary Specialty
  • Office Phone Number

Note that we use the National Provider Index to provide easy registration for practicing physicians. The registering physician must have a current NPI registration with

You may enroll as a physician whether you are the physician or if you are a member of the physician’s business office.

Pro Enroll

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