Bruce Irwin Rose, PHD, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

ME129612 Issued in FL

Practice address

8149 Point Meadows Way
Jacksonville, FL 32256-9111

Phone

(904) 260-0352

Fax

(904) 363-9818

NPI assigned

Feb 21, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Infertility Solutions, P. C.

  • Ambulatory Fertility Facility
  • Allentown, PA
  • NPI 1558571299
  NPD (past) Authorized official
• Brown Fertility Associates, P.a.

  dba Brown Fertility

  • Reproductive Endocrinology Physician
  • Jacksonville, FL
  • NPI 1326519166
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1558336909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8149 POINT MEADOWS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569111",
            "telephone_number": "904-260-0352",
            "fax_number": "904-363-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8149 POINT MEADOWS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569111",
            "telephone_number": "904-260-0352",
            "fax_number": "904-363-9818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14540 Old Saint Augustine Rd",
            "address_2": "Suite 2497",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322587418",
            "country_code": "US",
            "telephone_number": "904-260-0352",
            "fax_number": "904-260-0353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 W Gore St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061124",
            "country_code": "US",
            "telephone_number": "904-260-0352",
            "fax_number": "407-244-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BRUCE",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "PHD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME129612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Allen Roscoe, FNP-BC
• Rose RX LLC
• Rose Senior Care
• Rose Zayco, Psy.D. Inc.
• Alexander Tuan Rose, M.D.
• Elizabeth Jordan Rose, OTR/L
• Kate Rose, RBT
• Lauren Rose, CAA
• Mariah Rose, ARNP
• Phyllis Theresa Rose, NA

• Reproductive Endocrinology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Reproductive Endocrinology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.