Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760401053 Individual Practitioner Male Practitioner

Dr. Mark William Rodehaver , MD

Specialist • Brookline, MA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Rodehaver, MD is a registered healthcare professional specializing in Specialist in Brookline, MA. Practice services are available at 1330 BEACON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1330 Beacon St
Suite 263

Brookline, MA 024463282

Telephone 6175662859
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Brookline, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.8 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Brookline, MA (1181 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 36905

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2033917 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1033251582

Licensed Independent Clinical Social Worker

Dr. Roberta Isberg , MD

Psychiatry & Neurology - Psychiatry

NPI 1043255532

Doctor of Medicine (M.D.)

NPI 1043364045

Doctor of Philosophy (Ph.D.)

Dr. Lawrence Phan , DMD

Dentist - Prosthodontics

NPI 1083620819

Doctor of Dental Medicine

Robert Riethmiller

Psychologist - Clinical

NPI 1083688493
Gabriel Gruner , LICSW

Social Worker - Clinical

NPI 1104013317

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1330 BEACON ST, SUITE 263, BROOKLINE, MA 024463282 (Tel: 6175662859)

📍
Updated Business Mailing Address July 08, 2007

Registered at 127 WINTHROP RD, 4, BROOKLINE, MA 024454678 (Tel: 6175662859)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK RODEHAVER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #36905 in MA)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760401053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

127 Winthrop Rd, 4

Brookline, MA 024454678

Phone: 6175662859

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.