Jerry C Rosenberg, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

28068 Issued in MI

Practice address

1055 Young PL
Ann Arbor, MI 48105-2587

Phone

(734) 369-4664

NPI assigned

Dec 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1336384916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 RESEARCH PARK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082217",
            "telephone_number": "734-369-4664",
            "fax_number": "734-998-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 YOUNG PL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052587",
            "telephone_number": "734-369-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JERRY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "28068",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "28068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Hart Targan Rosenberg, MD
• Andrew L Rosenberg, MD
• Barry Louis Rosenberg, M.D., PHD
• Elinor B Rosenberg, MSW
• Jack Michael Rosenberg, MD
• Lily Rosenberg
• Marci Erin Rosenberg
• Tania Shaina Rosenberg, RN
• Katherine Lisa Rosenblum, PH.D.
• Melissa Britt Rosenblum, PH.D.

• Surgery Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.