Active NPI
David Rosenberg, D.P.M.
- Podiatrist
- West Bloomfield, MI
National Provider Identifier
1083611784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901000677
- Practice address
- 7296 Simsbury Dr
West Bloomfield, MI 48322-3548 - Phone
- (248) 737-2343
- Fax
- (248) 737-3959
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0207 | NV | |
| Podiatrist | 213E00000X | 5901000677 | MI | Primary |
Addresses
Primary practice location
7296 Simsbury Dr
West Bloomfield, MI 48322-3548
Mailing address
7296 Simsbury Dr
West Bloomfield, MI 48322-3548
Phone (248) 737-2343
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1080580 | Medicaid | MI | |
| 8825444 | Other | MI | BCBSM |
| 4333620001 | Other | MI | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0207 | NV | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1083611784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7296 SIMSBURY DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223548",
"telephone_number": "248-737-2343",
"fax_number": "248-737-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7296 SIMSBURY DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223548",
"telephone_number": "248-737-2343",
"fax_number": "248-737-3959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NV",
"license": "0207",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901000677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1080580",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "8825444",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4333620001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.