Active NPI
Russell Rothenberg MD, Chartered
- Rheumatology Physician
- Bethesda, MD
National Provider Identifier
1629126834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- D0027918
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932285020 | Other | DC | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryNPI 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.