DR. BRUCE ROBERT ROSEN (NPI# 1720052947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720052947 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ROBERT ROSEN |
| Credential | MD PHD |
| Practice Address |
149 13th St 149 2301 Mgh Imaging Center Charlestown MA 02129 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177265122 |
| Practice Fax Number | 6177267422 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
57775 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3020126 | 05 | |
| MA | TUFTS HEALTH PLAN | 057775 | 01 |
| MA | BCBS MA | J06262 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013062991 | Bruce J Rosen | Obstetrics & Gynecology | 431 Macdade Blvd, Folsom, PA 19033-2401 | 2007-01-24 |
| 1922158591 | Bruce Lawrence Rosen | Internal Medicine | 200 Engle Street, Suite 26, Englewood, NJ 07631 | 2007-01-12 |
| 1649343245 | Bruce Rosen | Psychiatry & Neurology | 222 Middle Country Rd, Suite 210, Smithtown, NY 11787-2814 | 2006-11-15 |
| 1326006776 | Bruce M. Rosen | Nurse Practitioner | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2006-05-03 |
| 1427010347 | Bruce B Rosen | Internal Medicine | 281 E Hartford Ave, Uxbridge, MA 01569-1278 | 2006-04-05 |
| Street Address |
149 13TH ST 149 2301 MGH IMAGING CENTER |
| City | CHARLESTOWN |
| State | MA |
| Zip Code | 02129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437149093 | Mia M Maccollin | Pediatrics | 149 13th St, 6th Floor Cyn 149 6, Charlestown, MA 02129-2020 | 2005-10-25 |
| 1750912861 | Kelli Scarlett Devitte-mckee | Registered Nurse | 149 13th St, Charlestown, MA 02129-2020 | 2020-01-28 |
| 1700117975 | Daniel Elias Kaufmann | General Acute Care Hospital | 149 13th St, Ragon Institute, Mgh East, Room 5239, Charlestown, MA 02129-2020 | 2010-01-27 |
| 1831304112 | Miguel N Rivera | Medical Genetics | 149 13th St, Bldg 149, Room 7-101, Charlestown, MA 02129-2020 | 2007-05-11 |
| 1063522571 | Jian Kong | Acupuncturist | 149 13th St, Suite 2661, Charlestown, MA 02129-2020 | 2006-08-30 |
| 1760499149 | Carl R E Schwartz | Psychiatry & Neurology | 149 13th St, Building 149, Room 2627, Charlestown, MA 02129-2020 | 2006-08-01 |
| 1871551424 | Daphne J Holt | Psychiatry & Neurology | 149 13th St, Mgh East, Charlestown, MA 02129-2020 | 2006-05-03 |
| 1619954492 | Michael Andrew Jenike | Psychiatry & Neurology | 149 13th St, Obsessive Compulsive Disorders Unit, Charlestown, MA 02129-2020 | 2005-12-22 |
| 1508847716 | Roger K Pitman | Psychiatry & Neurology | 149 13th St, Cny 149 Ptsd Research Lab, Charlestown, MA 02129 | 2005-11-07 |
| 1336130871 | Sheryl Evelyn Stewart | Psychiatry & Neurology | 149 13th St, Charlestown, MA 02129-2020 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1033738489 | Boston Health & Wellness, LLC | Physical Therapist | 250 First Aveneue, #506, Charlestown, MA 02129 | 2020-04-15 |
| 1134693534 | Martavia Richardson | Behavior Technician | 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 | 2019-01-18 |
| 1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
| 1558845602 | Christopher Wayne Manzano | Specialist/Technologist | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-09-24 |
| 1023503216 | Justin E Karr | Student in an Organized Health Care Education/Training Program | 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 | 2018-06-29 |
| 1184140162 | Hakan Ay | Psychiatry & Neurology | Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 | 2017-08-21 |
| 1396271748 | Acra Care and Recovery Associates, LLC | Clinic/Center | 529 Main Street, Suite 217, The Schraffts Building, Power House, Charlestown, MA 02129 | 2017-05-04 |
| 1003267964 | Allison E White | Student in an Organized Health Care Education/Training Program | Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 | 2016-06-22 |
| 1588025258 | Adrienne Senneville | Physical Therapist | 529 Main St., Charlestown, MA 02129 | 2016-03-09 |
| Find all providers in zip 02129 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376570572 | Edward Barczak | Radiology | 9012 Stoney Point Rd, Charlestown, IN 47111-8753 | 2006-06-26 |
| 1104808179 | Jay Brian Robards | Radiology | 316 Calhoun St, Charlestown, SC 29401 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604570 | Yarab Mubarak Habib Al Bulushi | Radiology | 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1417507740 | Daniel Andres Vargas Zapata | Radiology | 330 Brookline Ave # Es-215, Boston, MA 02215-5491 | 2019-09-18 |
| 1386129468 | Keri Susan Bouthiller | Radiology | 9 Stevens St, Stoneham, MA 02180-1806 | 2018-09-25 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1790270239 | Rahul Gujrathi | Radiology | 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 | 2018-06-27 |
| 1083104434 | Edgar Leonardo Martinez-salazar | Radiology | 20 Michigan Ave, Somerville, MA 02145-2228 | 2018-05-11 |
| 1548758790 | Hudson Valley Radiologists, PC | Radiology | 18 West Rd, Great Barrington, MA 01230-1947 | 2018-04-24 |
| 1700381282 | Casey Keith Bishop | Radiology | 820 Harrison Ave Dept Of, Boston, MA 02118-2905 | 2018-03-27 |
| 1922517713 | Arwa Alzaghal | Radiology | Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTOWN |
| Zip Code | 02129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.