Provider Demographics
NPI:1114992187
Name:ROSENBERG BONE & JOINT, PC
Entity Type:Organization
Organization Name:ROSENBERG BONE & JOINT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-894-3718
Mailing Address - Street 1:48 HOSPITAL DR
Mailing Address - Street 2:SUITE 2-A
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-8516
Mailing Address - Country:US
Mailing Address - Phone:828-894-3718
Mailing Address - Fax:828-894-3806
Practice Address - Street 1:48 HOSPITAL DR
Practice Address - Street 2:SUITE 2-A
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-8516
Practice Address - Country:US
Practice Address - Phone:828-894-3718
Practice Address - Fax:828-894-3806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8913779Medicaid
NCI19544Medicare UPIN
NC8913779Medicaid