Organization Active NPI

Russell Rothenberg MD, Chartered

  • Rheumatology Physician
  • Bethesda, MD
National Provider Identifier
1629126834
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D0027918 Issued in MD
Legal business name
RUSSELL ROTHENBERG MD, CHARTERED
Practice address
10215 Fernwood Rd
401
Bethesda, MD 20817-1106
Phone
(301) 571-2273
Fax
(301) 571-0894
NPI assigned
Jan 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Russell Rothenberg, M.D.
Title
President
Phone
(301) 571-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X D0027918 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd
401
Bethesda, MD 20817-1106

Mailing address

10215 Fernwood Rd
401
Bethesda, MD 20817-1106
Phone (301) 571-2273

Other identifiers 1

IdentifierTypeStateIssuer
1932285020OtherDCNPI TYPE 1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1629126834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "401",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-571-2273",
            "fax_number": "301-571-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "401",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-571-2273",
            "fax_number": "301-571-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL ROTHENBERG MD, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "ROTHENBERG",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-571-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0027918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1932285020",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.