Charles S Rothberg, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036072214 Issued in IL

Practice address

2016 N Grandview LN
Bismarck, ND 58503-0845

Phone

(567) 277-0293

NPI assigned

Jul 15, 2006

Last updated

Jul 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9641/brand/2/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1942296033
  NPD (past)
• University of Toledo Physicians, LLC

  • Sports Medicine (Family Medicine) Physician
  • Toledo, OH
  • NPI 1215240676
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1326064718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 N GRANDVIEW LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030845",
            "telephone_number": "567-277-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 N GRANDVIEW LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030845",
            "telephone_number": "567-277-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBERG",
        "first_name": "CHARLES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036072214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Rossman, MS OTR/L
• Robert J Roswick, MD
• Lacey Vanessa Roth
• Lisa Carolyn Roth, LAC
• Sandra Lee Roth, RN
• Alicia Rouser
• Sara Rowe, LMT
• Billie J Rud, NP
• Andrea Rudnick, FNP
• Allen Edward Rudolph, D.C.

• Neurological Surgery Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Neurological Surgery Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.