Morton Bruce Rosenberg, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13194 Issued in MA

Practice address

25 Channel Center Street
#802
Boston, MA 02210

Phone

(617) 512-7941

NPI assigned

Aug 31, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609987312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHANNEL CENTER STREET",
            "address_2": "#802",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02210",
            "telephone_number": "617-512-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHANNEL CENTER STREET",
            "address_2": "#802",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02210",
            "telephone_number": "617-512-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MORTON",
        "middle_name": "BRUCE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "13194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249068",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Adah Rosenberg, M.D.
• Eric Scott Rosenberg, MD
• Irwin H Rosenberg, MD
• Jacob Rosenberg, MD,PHD
• Leah Rosenberg, M.D.
• Noah Spencer Rosenberg, MD
• Paul A Rosenberg, MD
• Stuart A Rosenberg, M.D.
• Tom Rosenberg, MD
• Peter BB Rosenberger, MD

• Oral and Maxillofacial Surgery (Dentist) in Boston, MA
• Providers in Boston, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.