Individual provider Active NPI

Alexander Grumberg, MD

  • Pediatrics Physician
  • Garland, TX
National Provider Identifier
1053306407
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F8498 Issued in TX
Practice address
2231 Peggy LN
Suite 1
Garland, TX 75042-5708
Phone
(972) 272-3502
Fax
(972) 205-0544
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X F8498 TX Primary

Addresses

Primary practice location

2231 Peggy LN
Suite 1
Garland, TX 75042-5708

Mailing address

2231 Peggy LN
Suite 1
Garland, TX 75042-5708
Phone (972) 272-3502

Other identifiers 1

IdentifierTypeStateIssuer
00TV42OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F8498TXMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053306407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 PEGGY LN",
            "address_2": "SUITE 1",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425708",
            "telephone_number": "972-272-3502",
            "fax_number": "972-205-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 PEGGY LN",
            "address_2": "SUITE 1",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425708",
            "telephone_number": "972-272-3502",
            "fax_number": "972-205-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMBERG",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F8498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00TV42",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.