Bradley Rowberry, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

88-65 Issued in NM

Practice address

1691 Galisteo St
Suite C
Santa Fe, NM 87505-4780

Phone

(505) 983-5631

Fax

(505) 982-5605

NPI assigned

Aug 5, 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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.rowberry.1@19849.direct.athenahealth.com
• Direct secure messaging: hvu8457@yourcarecommunity.org

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

• Los Alamos Physician Practices LLC

  • Family Medicine Physician
  • Los Alamos, NM
  • NPI 1750330510
  Medicare reassignment NPD
• NNM Gastroenterology Associates PA

  • Specialist
  • Santa Fe, NM
  • NPI 1699881417
  Medicare reassignment
• Los Alamos Physician Practices, LLC

  • Surgery Physician
  • Los Alamos, NM
  • NPI 1801075783
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1679582159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST",
            "address_2": "SUITE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054780",
            "telephone_number": "505-983-5631",
            "fax_number": "505-982-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST",
            "address_2": "SUITE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054780",
            "telephone_number": "505-983-5631",
            "fax_number": "505-982-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWBERRY",
        "first_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "88-65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lowe Rossol, MD
• Roswell Home Medical Inc
• Emily Rothschild, LMHC
• Lucia Rotunno
• Ronald Rovner, MD
• Carmen Miranda Rowland
• Jianna Rowland
• Roxana Raicu, M.D.
• Katherine Roxby, NP
• Bernadette Roybal, M.S., CCC-SP

• Specialist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.