Bruce R Rosengard, MD

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

MD056136L Issued in PA

Practice address

80 Lyman Rd
Chestnut Hill, MA 02467-2825

Phone

(617) 276-5724

Fax

(617) 726-2894

NPI assigned

Oct 4, 2006

Last updated

Dec 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1205921988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LYMAN RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672825",
            "telephone_number": "617-276-5724",
            "fax_number": "617-726-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LYMAN RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672825",
            "telephone_number": "617-276-5724",
            "fax_number": "617-726-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENGARD",
        "first_name": "BRUCE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD056136L",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD056136L",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MD056136L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Riva Rosenberg, LICSW
• Karina Ross
• Richard Owen Rossi
• Jonathan Rotenberg, LCSW
• Renee Rotman, NP
• Route 9 Dental LLC

• Surgical Critical Care Physician in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Surgical Critical Care Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.