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

Brent Shane Rose, MD

Individual provider Internal Medicine Physician · NPI 1518250869

Brent Shane Rose, MD is a Radiation Oncology in LA Jolla, California. Graduated from University of California, San Diego School of Medicine in 2010, 16 years ago. Practices with Regents of the University of California, a 2,061-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
16
Trained at
University of California, San Diego School of Medicine
Licensed in
MA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3855 Health Sciences Dr
LA Jolla, CA 92093-1503
Phone: (619) 341-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 248551 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 248551 (MA)

Record details

NPI number1518250869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2011
Last updated in NPPESApril 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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