Organization Active NPI

Bruce S Rosenblum, M.D., P.C.

  • Psychiatry Physician
  • Columbia, MD
National Provider Identifier
1295928026
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0029739 Issued in MD
Legal business name
BRUCE S ROSENBLUM, M.D., P.C.
Practice address
10630 Little Patuxent Pkwy
Century Plaza 1000, 317
Columbia, MD 21044-3264
Phone
(410) 772-0774
Fax
(410) 772-0776
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Bruce Rosenblum, MD
Title
President
Phone
(410) 772-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

10630 Little Patuxent Pkwy
#1000
Columbia, MD 21044
Phone (410) 772-0774

10630 Little Patuxent Pkwy
Ste 317
Columbia, MD 21044
Phone (410) 772-0774

6525 N Charles St
Ste 135
Towson, MD 21204
Phone (410) 823-5619

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1295928026",
    "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": {
        "organization_name": "BRUCE S ROSENBLUM, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-772-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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.

Verify at the official NPI Registry.