# BRAD ROSEN, DO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801188735
- **Authorized official:** DR. BRADLEY DEAN ROSEN D.O. (PHYSICIAN)
- **Authorized official phone:** (301) 515-6000

## Contact information

- **Practice address:** 3 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2643
- **Practice address phone:** (301) 515-6000
- **Practice address fax:** (301) 515-6039
- **Mailing address:** 3 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2643
- **Mailing address phone:** (301) 515-6000
- **Mailing address fax:** (301) 515-6039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | H47195 | MD | Yes |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 05/11/2011