MEDICARE: DR. DAVID ROSENBERG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	050554	GA
2	2085R0202X	Diagnostic Radiology Physician	ME84408	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00249004	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336123967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ROSENBERG M.D.

Provider Business Mailing Address
First Line	:	7861 STANZA STREET
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3254
Country	:	US
Telephone Number	:	561-320-2445
Fax Number	:

Provider Business Practice Location Address
First Line	:	7861 STANZA STREET
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3254
Country	:	US
Telephone Number	:	561-702-4429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	04/30/2026

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Directions to “ DR. DAVID ROSENBERG M.D.” Practice Location

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