Active NPI
Brent R Rosen, D.O.
- Otolaryngology Physician
- Doylestown, PA
National Provider Identifier
1386815041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- OS012687
- Practice address
- 3655 Route 202
Suite 225-230
Doylestown, PA 18902-6601 - Phone
- (215) 230-4013
- Fax
- (215) 230-4143
- NPI assigned
- Mar 20, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | OS012687 | PA | Primary |
| Otolaryngology Physician | 207Y00000X | 20A9828 | CA |
Addresses
Primary practice location
3655 Route 202
Suite 225-230
Doylestown, PA 18902-6601
Mailing address
3655 Route 202
Suite 225-230
Doylestown, PA 18902-6601
Phone (215) 230-4013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 16, 2024 through Aug 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9828 | CA | MD | Otolaryngology Physician |
| OS012687 | PA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1386815041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 ROUTE 202",
"address_2": "SUITE 225-230",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189026601",
"telephone_number": "215-230-4013",
"fax_number": "215-230-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 ROUTE 202",
"address_2": "SUITE 225-230",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189026601",
"telephone_number": "215-230-4013",
"fax_number": "215-230-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "BRENT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "OS012687",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "20A9828",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.