Active NPI
Bennett Rosenthal M.S.,PH.D.,M.D.,P.a.
- Neurology Physician
- Ocoee, FL
National Provider Identifier
1992781041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- BENNETT ROSENTHAL M.S.,PH.D.,M.D.,P.A.
- Practice address
- 10000 W Colonial Dr
Suite 289
Ocoee, FL 34761-3498 - Phone
- (407) 296-1940
- Fax
- (407) 296-1942
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bennett M Rosenthal, M.S.,PH.D,M.D.
- Title
- Provider/Owner
- Phone
- (407) 296-1940
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
10000 W Colonial Dr
Suite 289
Ocoee, FL 34761-3498
Mailing address
PO Box 1909
Windermere, FL 34786-1909
Phone (407) 296-1940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376814700 | Medicaid | FL | |
| 26248 | Other | FL | BCBSOFFLA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090804000649 | FL | Part B Supplier - Clinic/Group Practice | 8224181524 |
Receives reassigned benefits from 1 practitioner Practice locations: Ocoee, FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241568000000",
"number": "1992781041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1909",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347861909",
"telephone_number": "407-296-1940",
"fax_number": "407-296-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W COLONIAL DR",
"address_2": "SUITE 289",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613498",
"telephone_number": "407-296-1940",
"fax_number": "407-296-1942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNETT ROSENTHAL M.S.,PH.D.,M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-21",
"last_updated": "2009-05-06",
"status": "A",
"authorized_official_last_name": "ROSENTHAL",
"authorized_official_first_name": "BENNETT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "407-296-1940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.S.,PH.D,M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376814700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSOFFLA",
"identifier": "26248",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.