Brooke Whitley Rosenberg, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001001849 Issued in NC

Practice address

6512 Six Forks Rd
Suite 102B
Raleigh, NC 27615-6561

Phone

(919) 870-8845

Fax

(919) 870-8882

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brosenberg543973@direct.novanthealth.org

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.

• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment
• Novant Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Medical Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Matthews, NC
  • NPI 1033566526
  NPD
• Novant Health Medical Group, LLC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1134841802
  NPD (past)
• Triangle Medical Professionals LLC

  • Physician Assistant
  • Raleigh, NC
  • NPI 1417974064
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1235367152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "SUITE 102B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-870-8845",
            "fax_number": "919-870-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "SUITE 102B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-870-8845",
            "fax_number": "919-870-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "BROOKE",
        "middle_name": "WHITLEY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001001849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brosenberg543973@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "6512 Six Forks Rd",
            "address_2": "Suite 102B",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276156561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Virgil L Rose Jr., MD
• Rosemarie C Newman MD PA
• Alan Lee Rosen, M.D.
• Michael Rodney Rosen, L.C.S.W.
• David Henri Rosenbaum, M.D.
• Pamela Rosenberg, LCSW
• Roxanne Rosenberg, LCMHC, PMH-C
• Brennyn Grace Rosenberger
• Shepherd F Rosenblum, M.D.
• Gabriel Rosenboro, BS CRIMINAL JUSTICE

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.