NPIMap

Individual provider Active NPI

Lawrence Mark Rothenberg, M.D.

  • Internal Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1104809367
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
67244 Issued in AZ
Practice address
3015 Highway 95 Ste 105
Bullhead City, AZ 86442-4334
Phone
(928) 763-2001
Fax
(928) 763-2038
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 67244 AZ Primary

Addresses

Primary practice location

3015 Highway 95 Ste 105
Bullhead City, AZ 86442-4334

Mailing address

3015 Hway 95 Ste 105
Bullhead City, AZ 86442-4334
Phone (928) 763-2001

Other practice location 1

3636 N Stockton Hill Rd
Kingman, AZ 86409-0514
Phone (928) 757-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ND, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110513000645 FL Practitioner - GastroenterologyPractitioner - General PracticePractitioner - Internal Medicine 2961452552 Practice locations: West Palm Beach, FL
I20230213001045 ND Practitioner - Internal Medicine 2961452552 Reassigns benefits to 1 organization
I20230823002694 AZ Practitioner - Internal Medicine 2961452552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

2585 Miracle Mile
Bullhead City, AZ 86442-7522

3015 Hway
95 Suite 105
Bullhead City, AZ 86442-4334
Phone (928) 763-2001

Hospital & facility affiliations

  • Valley View Home Health Home health agency, Bullhead City, AZ, CCN 037412
  • Family Care Home Health Agency Home health agency, Bullhead City, AZ, CCN 037477
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67244AZMDInternal Medicine Physician
27088FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center CurrentSince Aug 5, 2024 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine CurrentSince Mar 17, 2025 Accepting new patients
Prescott Healthcare Solutions LLC CurrentSince Jun 16, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine CurrentSince Mar 17, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Internal Medicine Current Accepting new patients
Portable Medical Diagnostics, Inc CurrentSince Oct 1, 2023 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Aug 5, 2024 Accepting new patients
Luxor Industries-Physicians Group North Fort Myers FL Division LLC Past Accepting new patients
Baker County Medical Services Inc Past Accepting new patients
Apex Radiology Past Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

3015 Highway 95
Ste 105
Bullhead City, AZ 86442
Phone (928) 763-2001

2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499

8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1104809367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HWAY 95 STE 105",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-2001",
            "fax_number": "928-763-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 95 STE 105",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-2001",
            "fax_number": "928-763-2038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864090514",
            "country_code": "US",
            "telephone_number": "928-757-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "LAWRENCE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "67244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.