Active NPI
Alan Gruber, PSS, CRM
- Health Information Specialist/Technologist
- Medford, OR
National Provider Identifier
1083076616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Specialist/Technologist
- Practice address
- 3512 Lone Pine Rd
Medford, OR 97504-5637 - Phone
- (541) 779-2003
- Fax
- (541) 734-2410
- NPI assigned
- Mar 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Specialist/Technologist | 246Y00000X | Primary |
Addresses
Primary practice location
3512 Lone Pine Rd
Medford, OR 97504-5637
Mailing address
300 W Main St
Medford, OR 97501-2756
Phone (541) 772-1777
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1083076616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975012756",
"telephone_number": "541-772-1777",
"fax_number": "541-734-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 LONE PINE RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045637",
"telephone_number": "541-779-2003",
"fax_number": "541-734-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "ALAN",
"credential": "PSS, CRM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.