Organization Active NPI

RGR Ventures LLC

Doing business as Brevard Podiatry Group or Robert Rosen, DPM

  • Podiatrist
  • Titusville, FL
National Provider Identifier
1851440614
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RGR VENTURES LLC
Doing business as
Brevard Podiatry Group or Robert Rosen, DPM
Practice address
850 Garden St
Titusville, FL 32780-3411
Phone
(321) 267-3233
Fax
(321) 267-5141
NPI assigned
Jan 10, 2007
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Dr. Robert G Rosen, DPMNPI 1336110832
Title
Owner
Phone
(321) 267-3233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

850 Garden St
Titusville, FL 32780-3411

Mailing address

850 Garden St
Titusville, FL 32796-3411
Phone (321) 267-3233

Other identifiers 1

IdentifierTypeStateIssuer
P00179443OtherFLMEDICARE RAILROAD

Other names 1

  • Brevard Podiatry Group or Robert Rosen, DPM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041106000009 FL Part B Supplier - Clinic/Group Practice 5092778472 Receives reassigned benefits from 1 practitioner
Practice locations: Titusville, FL
O20100930033739 FL DME Supplier - Physician - Podiatry 5092778472 Practice locations: Titusville, FL

National Provider Directory

National Provider Directory

Locations

850 Garden St
Titusville, FL 32796
Phone (321) 267-3233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1851440614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963411",
            "telephone_number": "321-267-3233",
            "fax_number": "321-267-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327803411",
            "telephone_number": "321-267-3233",
            "fax_number": "321-267-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGR VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-267-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00179443",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Podiatry Group or Robert Rosen, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.