Provider Demographics
NPI:1023016706
Name:ROSENFELD, BERNARD L (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:L
Last Name:ROSENFELD
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 FANNIN ST
Mailing Address - Street 2:SUITE 970
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1920
Mailing Address - Country:US
Mailing Address - Phone:713-790-0099
Mailing Address - Fax:713-790-0527
Practice Address - Street 1:7400 FANNIN ST
Practice Address - Street 2:SUITE 970
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1920
Practice Address - Country:US
Practice Address - Phone:713-790-0099
Practice Address - Fax:713-790-0527
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7687207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123620003Medicaid
TXC21312Medicare UPIN
TX123620003Medicaid