Brandon Rosenberg

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

BV6764787-223 Issued in AZ

Practice address

18701 N 67TH Ave
Glendale, AZ 85308-7100

Phone

(623) 561-1000

NPI assigned

Mar 31, 2025

Last updated

Jul 29, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1548063696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 TANNERS POND RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301038",
            "telephone_number": "516-445-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087100",
            "telephone_number": "623-561-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "BV6764787-223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Richard Rose, LCSW, PH.D.
• Cindy K Rosek, NP-C
• Jodi Roselius-Bagley, LMT
• Daniella Rosen, PA
• Lara E. Rosenbaum, M.D.
• Ron Rosenwald, MD
• Jamie Ross
• Jenna Lynn Ross, LPC
• Jenny Ross
• Mason Ross, PA-C

• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.