Individual provider Active NPI

Brent R Rosen, D.O.

  • Otolaryngology Physician
  • Doylestown, PA
National Provider Identifier
1386815041
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS012687 Issued in PA
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

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
20A9828CAMDOtolaryngology Physician
OS012687PAMDOtolaryngology 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

Verify at the official NPI Registry.