Healthcare Provider Details

I. General information

NPI: 1568519601
Provider Name (Legal Business Name): BERNARD ALLAN ROSENBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7107 F.M. 2920 RD. SUITE 200
SPRING TX
77379-2213
US

IV. Provider business mailing address

7107 F.M. 2920 RD. SUITE 200
SPRING TX
77379-2213
US

V. Phone/Fax

Practice location:
  • Phone: 281-580-8086
  • Fax: 281-580-7129
Mailing address:
  • Phone: 281-580-8086
  • Fax: 281-580-7129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberF1950
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: