Physician Compare National (NPI:1801894985)

HEALTHCARE PROVIDER: BRADLEY DEAN ROSEN D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801894985
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002094083
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110622000346
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSEN
	Individual professional last name
Provider First Name	BRADLEY
	Individual professional first name
Provider Middle Name	DEAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3 EXECUTIVE PARK CT
	Group Practice or individual's line 1 address
City	GERMANTOWN
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208742643
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y