Active NPI
Bruce Stanley Rosenblum, M.D.
- Psychiatry Physician
- Columbia, MD
National Provider Identifier
1225052228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0029739
- Practice address
- 10630 Little Patuxent Pkwy
Century Plaza 1000, 317
Columbia, MD 21044-3264 - Phone
- (410) 772-0774
- Fax
- (410) 772-0776
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0029739 | MD | Primary |
Addresses
Primary practice location
10630 Little Patuxent Pkwy
Century Plaza 1000, 317
Columbia, MD 21044-3264
Mailing address
10630 Little Patuxent Pkwy
Century Plaza 1000, 317
Columbia, MD 21044-3264
Phone (410) 772-0774
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0029739 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1225052228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10630 LITTLE PATUXENT PKWY",
"address_2": "CENTURY PLAZA 1000, 317",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443264",
"telephone_number": "410-772-0774",
"fax_number": "410-772-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 LITTLE PATUXENT PKWY",
"address_2": "CENTURY PLAZA 1000, 317",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443264",
"telephone_number": "410-772-0774",
"fax_number": "410-772-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLUM",
"first_name": "BRUCE",
"middle_name": "STANLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0029739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.