Bonnie L. Rosenberg, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A061162 Issued in CA

Practice address

401 Burgess Dr Ste B
Suite 201
Menlo Park, CA 94025-3476

Phone

(650) 325-5055

Fax

(650) 325-1295

NPI assigned

Dec 22, 2006

Last updated

Feb 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 8, 2015 through Nov 8, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: bonnie.rosenberg@95772016644.direct.elationemr.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1033274766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR STE B",
            "address_2": "SUITE 201",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253476",
            "telephone_number": "650-325-5055",
            "fax_number": "650-325-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR STE B",
            "address_2": "SUITE 201",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253476",
            "telephone_number": "650-325-5055",
            "fax_number": "650-325-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "BONNIE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A061162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Francis Romoser
• Juliana Ronn
• Arthur Rose, MFT
• Craig Steven Rosen, PH.D.
• Erica Michelle Rosen, M.D.
• Jillian Walsh Rosoff, LMFT
• Jaime Ross, EDD
• Carrie Rothstein, MD
• Nicole Rotunno, DPT
• RSC Surgery Center, LLC

• Specialist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.