# DR. BRADLEY H ROSENBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295718559
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301070359 | MI | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 07/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 140547 | PREFERRED CARE CHOCIES | MI |
| 01 | — | 16922 | MCARE | MI |
| 01 | — | 3406348242 | BCBSM INDIVIDUAL ID | MI |
| 05 | — | 4849970 | — | MI |
| 05 | — | 4973541 | — | MI |
| 01 | — | 7754699 | AETNA | MI |
| 01 | — | BR070359 | BCBSM LICENSE NUMBER | MI |
| 01 | — | H56363 | HAP | MI |
| 01 | — | P0330577 | RAILROAD MEDICARE | MI |