Bradley Rosenthal, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000050661

Practice address

5000 Bellflower Blvd
Lakewood, CA 90713-1812

Phone

(951) 427-2522

NPI assigned

May 20, 2022

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1922745959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BELLFLOWER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131812",
            "telephone_number": "951-427-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BELLFLOWER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131812",
            "telephone_number": "951-427-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "BRADLEY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000050661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER",
            "identifier": "2000050661",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bradr815",
            "affiliation": "N",
            "address_1": "5000 Bellflower Blvd",
            "city": "Lakewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907131812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Galang Rorm
• Karla Rosales
• Marilyn Rosca, NURSE PRACTITIONER
• Fredric Robert Rosenberg, M.D.
• Richard Arthur Rosenberg, DPM
• Ramiro R. Rosero, MD
• Alani Naeawili Ross, C.M.T.
• Roy Elevazo & Associates, Inc.
• Margo Royer, RN
• Christian Alfonso Rubio, MSOT

• Athletic Trainer in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.