Active NPI
Brooke Rossheim, M.D., M.P.H.
- Public Health & General Preventive Medicine Physician
- Ashland, VA
National Provider Identifier
1679780894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 0101057558
- Practice address
- 12312 Washington Hwy
Hanover County Health Department
Ashland, VA 23005-7646 - Phone
- (804) 365-4348
- Fax
- (804) 365-4355
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 0101057558 | VA | Primary |
Addresses
Primary practice location
12312 Washington Hwy
Hanover County Health Department
Ashland, VA 23005-7646
Mailing address
12312 Washington Hwy
Hanover County Health Department
Ashland, VA 23005-7646
Phone (804) 365-4348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100303000441 | VA | Practitioner - Preventive Medicine | 0446303598 | Reassigns benefits to 1 organization |
| I20260327000806 | MD | Practitioner - Internal Medicine | 0446303598 | Reassigns benefits to 1 organization |
| I20260331000108 | NC | Practitioner - Internal Medicine | 0446303598 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 400
Dallas, TX 75244-4910
4055 Valley View LN
Suite 400
Dallas, TX 75244-5071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101057558 | VA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1679780894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12312 WASHINGTON HWY",
"address_2": "HANOVER COUNTY HEALTH DEPARTMENT",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057646",
"telephone_number": "804-365-4348",
"fax_number": "804-365-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12312 WASHINGTON HWY",
"address_2": "HANOVER COUNTY HEALTH DEPARTMENT",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057646",
"telephone_number": "804-365-4348",
"fax_number": "804-365-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSHEIM",
"first_name": "BROOKE",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "VA",
"license": "0101057558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.