Bradley L. Rosenberg, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

033543 Issued in CT

Practice address

333 Kennedy Dr
Suite L-104
Torrington, CT 06790-3060

Phone

(860) 496-4043

Fax

(860) 496-4046

NPI assigned

Jul 17, 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 5

Medicare fee-for-service enrollment

Enrolled in CT

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: admin@brosenberg.e-mdsdirect.com
• Direct secure messaging: brosenberg4061010@direct.trinity-health.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.

• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812
  Medicare reassignment NPD
• Trinity Health of New England Provider Network Organization Inc

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD
• I Spine, PC

  • Pain Medicine (Anesthesiology) Physician
  • Waterbury, CT
  • NPI 1518632199
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679591168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 KENNEDY DR",
            "address_2": "SUITE L-104",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903060",
            "telephone_number": "860-496-4043",
            "fax_number": "860-496-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 KENNEDY DR",
            "address_2": "SUITE L-104",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903060",
            "telephone_number": "860-496-4043",
            "fax_number": "860-496-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "BRADLEY",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "033543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010033543CT01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335430",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET OF CT",
            "identifier": "2V0428",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "335430",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2639112",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E Romano, APRN-BC
• Lori Anne Romeo, PA.C
• James Root
• Deborah Rosado, BS
• Claire Aliza Rosen
• Clifford B Rosenberg, MD
• Corey Travis Rosenfield, MA, LPC, LADC
• Alan Leslie Ross, D.M.D.
• Jennifer Marie Ross, PMHNP
• Melanie Ross

• Family Medicine Physician in Torrington, CT
• Providers in Torrington, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.