Active NPIIndividual provider

Brian De La Rosa, MD

Emergency Medicine in Bridgeport, Connecticut

NPI Number1235276197
Practice location
2800 Main St, St. Vincents Medical Center, Bridgeport, CT 06606-4201
Fax
—
Last updated
September 24, 2007

Brian De La Rosa is an Emergency Medicine based in Bridgeport, CT. Brian De La Rosa practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Brian De La Rosa is 1235276197 and holds a License No. 040558 (CT). The current practice location address for Brian De La Rosa is 2800 Main St, St. Vincents Medical Center, Bridgeport, CT 06606-4201 and can be reached out via phone at 203-576-5177.

Provider Profile Details

NPI Number
1235276197
Provider Name
Brian De La Rosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2800 Main St, St. Vincents Medical Center, Bridgeport, CT 06606-4201
Phone Number
203-576-5177
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
January 31, 2007
Last Update Date
September 24, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2800 Main St
St. Vincents Medical Center
Bridgeport, CT 06606-4201
Zip
06606-4201
Phone Number
203-576-5177
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
2800 Main St
St. Vincents Medical Center
Bridgeport, CT 06606-4201
City
Bridgeport
State
CT
Zip
06606-4201
Phone Number
203-576-5177

License Information

License Number
040558
License State
CT
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brian De La Rosa, MD?

The NPI number of Brian De La Rosa, MD is 1235276197. It was assigned on January 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Brian De La Rosa, MD?

Brian De La Rosa, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 040558.

Where does Brian De La Rosa, MD practice?

The practice location is 2800 Main St, St. Vincents Medical Center, Bridgeport, CT 06606-4201. The office can be reached at 203-576-5177 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235276197 directly on the NPPES registry website.

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