Active NPI
Bernadette R Rosenberg, DO
- Pediatrics Physician
- Mesa, AZ
National Provider Identifier
1235316175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A-2168-18
- Practice address
- 815 E University Dr
Mesa, AZ 85203-8032 - Phone
- (480) 507-2199
- Fax
- (480) 649-3416
- NPI assigned
- Jan 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A-2168-18 | NM | Primary |
| Pediatrics Physician | 208000000X | 4749 | AZ |
Addresses
Primary practice location
815 E University Dr
Mesa, AZ 85203-8032
Mailing address
3108 N 17TH Ave
Phoenix, AZ 85015-5802
Phone (480) 694-9021
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-2168-18 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marana Health Center, Inc | Past | Accepting new patients | |
| Artesia General Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba MHC Integrated Care Pharmacy
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1235316175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 N 17TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850155802",
"telephone_number": "480-694-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E UNIVERSITY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852038032",
"telephone_number": "480-507-2199",
"fax_number": "480-649-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "BERNADETTE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "A-2168-18",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "4749",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.