Brad Rosen, DO LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H47195 Issued in MD

Legal business name

BRAD ROSEN, DO LLC

Practice address

3 Executive Park CT
Germantown, MD 20874-2643

Phone

(301) 515-6000

Fax

(301) 515-6039

NPI assigned

May 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Dean Rosen, D.O.NPI 1801894985

Title

Physician

Phone

(301) 515-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Dean Rosen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Germantown, MD
  • NPI 1801894985
  NPD Authorized official

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1801188735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE PARK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742643",
            "telephone_number": "301-515-6000",
            "fax_number": "301-515-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE PARK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742643",
            "telephone_number": "301-515-6000",
            "fax_number": "301-515-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD ROSEN, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-515-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H47195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1801894985",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce J Bortnick, M.D.
• Robert S Bosland, D.C.
• Kathryn Rose Bosley, NP
• Kimberly D Bosley, ATC
• Jonathan R Bowles, M.D.
• Sarah Bradshaw, PTA
• Kia Braithwaite
• Patricia Braun, LCSW-C
• Jared D Braverman, ATC
• Brian P Krandell DDS PA

• Physical Medicine & Rehabilitation Physician in Germantown, MD
• Providers in Germantown, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.