Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Santa Rosa Orthopaedic Medical Group, Inc

Organization Orthopaedic Surgery Physician · NPI 1164637922

Santa Rosa Orthopaedic Medical Group, Inc is an Orthopaedic Surgery Physician in Santa Rosa, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1405 Montgomery Dr
Santa Rosa, CA 95405-4557
Phone: (707) 546-1922
Fax: (707) 546-1897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Orthopaedic Trauma Physician Taxonomy 207XX0801X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1164637922
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Brophy — Practice Manager · (707) 546-1922
Other names Santa Rosa Orthopaedic Medical Group, Inc.
NPI enumeratedMay 14, 2007
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address1405 Montgomery Dr, Santa Rosa, CA 95405-4557

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