DR. BRUCE ROBERT ROSEN MD PHD NPI 1720052947

NPI Information

NPI: 1720052947
Provider Name: DR. BRUCE ROBERT ROSEN, MD PHD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
149 13TH ST
149 2301 MGH IMAGING CENTER
CHARLESTOWN, MA
ZIP 02129
Phone: (617) 726-5122
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DR. Bruce Robert Rosen, MD PHD is a diagnostic radiology radiology in Charlestown, MA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Bruce Robert Rosen, MD PHD NPI is 1720052947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

149 13TH ST
149 2301 MGH IMAGING CENTER
CHARLESTOWN, MA
ZIP 02129
Phone: (617) 726-5122
Fax: (617) 726-7422

The NPI 1720052947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	57775	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J06262	OTHER	MASSACHUSETTS	BCBS MA
2	J06262	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	B87214	MEDICARE UPIN
4	057775	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
5	3020126	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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