Mitchell S Rodman, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD040732E Issued in PA

Practice address

24 N Bryn Mawr Ave # 171
Bryn Mawr, PA 19010-3304

Phone

(484) 431-4022

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1851389043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N BRYN MAWR AVE # 171",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103304",
            "telephone_number": "484-431-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N BRYN MAWR AVE # 171",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103304",
            "telephone_number": "484-431-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "MITCHELL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD040732E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD040732E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018616030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayte Downing Roberts, LMFT
• Robin Harshaw and Associates
• Antoine Guy Robinson, CRNP
• Dana Marie Rodgers, CCRN
• Judith A Rodkey-Matusky, R.D.
• Awilda Rodriguez
• Laurel Roe, LMFT
• Thomas T Roesch, PA
• Amy L Rogers, PT
• Geoffrey Rogers, LSW

• Diagnostic Radiology Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.