Active NPI
Barry B Roseman, D.M.D M.D.
- Family Medicine Physician
- Hockessin, DE
National Provider Identifier
1538201215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C1-0002254
- Practice address
- 730 Brookwood LN
Hockessin, DE 19707-9536 - Phone
- (302) 764-7714
- NPI assigned
- Feb 12, 2007
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | G1-0000893 | DE | |
| Family Medicine Physician | 207Q00000X | C1-0002254 | DE | Primary |
Addresses
Primary practice location
730 Brookwood LN
Hockessin, DE 19707-9536
Mailing address
730 Brookwood LN
Hockessin, DE 19707-9536
Phone (302) 229-7973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000443701 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0000893 | DE | MD | Oral and Maxillofacial Surgery (Dentist) |
| C1-0002254 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Dental Health of Delaware - Wilmington, PA | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Wilmington, DE
- NPI 1316095904
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635552000000",
"number": "1538201215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 BROOKWOOD LN",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197079536",
"telephone_number": "302-229-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 BROOKWOOD LN",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197079536",
"telephone_number": "302-764-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEMAN",
"first_name": "BARRY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.M.D M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2021-10-30",
"certification_date": "2021-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "DE",
"license": "G1-0000893",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0002254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000443701",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hockessin, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.