Bruce Rosenzweig, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036071719 Issued in IL

Practice address

175 E Delaware PL Apt 8909
Chicago, IL 60611-7754

Phone

(312) 399-2702

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/684/brand/2/csg/43/fhir/r4

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Lakefront Medical Associates LLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1144418633

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1770568156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E DELAWARE PL APT 8909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117754",
            "telephone_number": "312-399-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E DELAWARE PL APT 8909",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117754",
            "telephone_number": "312-399-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036071719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071719",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC IL",
            "identifier": "1634815",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michel Rosenthal, LCPC
• Ryan Matthew Rosenthal, D.C.
• Stanley H. Rosenthal, M.D.
• Steve Lee Rosenthal, MHA, BA, CADC, CODP1
• Bella Rosenzweig, MD
• Finisa Rosenzweig, M.D.
• Rosett Plastic Surgery, LLC
• Rosett Plastic Surgery, LLC
• Brian Elliott Rosett, M.D.
• Jessica E Rosette, PA-C

• All providers in Chicago, IL
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.