Active NPI
Carl H. Rosen, M.D.
- Urology Physician
- Leitchfield, KY
National Provider Identifier
1174766497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- CARL H. ROSEN, M.D.
- Practice address
- 6373 Brandenburg Rd
Leitchfield, KY 42754-7534 - Phone
- (270) 215-1036
- NPI assigned
- Apr 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl H Rosen, MD
- Title
- Owner
- Phone
- (270) 287-0450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
6373 Brandenburg Rd
Leitchfield, KY 42754-7534
Mailing address
6373 Brandenburg Rd
Leitchfield, KY 42754-7534
Phone (270) 215-1036
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000612641 | Other | ANTHEM BCBS | |
| 50023039 | Other | KY | PASSPORT HEALTH |
| 64300205 | Medicaid | KY |
Other names 1
- Brandenburg Urology
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253491200000",
"number": "1174766497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6373 BRANDENBURG RD",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427547534",
"telephone_number": "270-215-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6373 BRANDENBURG RD",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427547534",
"telephone_number": "270-215-1036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARL H. ROSEN, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-16",
"last_updated": "2009-09-21",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-287-0450",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000612641",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH",
"identifier": "50023039",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64300205",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brandenburg Urology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.