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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972131845

Logan Kyle Rosenberg, MD is a Student in an Organized Health Care Education/Training Program in Richmond, Virginia. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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

1200 E Marshall St
Richmond, VA 23298-5023
Phone: (800) 762-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Nw 23rd Ave, Portland, OR 97210-2906 — (503) 413-7074

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1972131845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address20 Sutton Pl S Apt 20c, New York, NY 10022-4348

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