Active NPI
Allen Bruce Gruber, M.D.
- Neurology Physician
- Savannah, GA
National Provider Identifier
1104032143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- F6692
- Practice address
- 26 Hobcaw LN
Savannah, GA 31411-2508 - Phone
- (858) 775-8318
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | F6692 | TX | Primary |
Addresses
Primary practice location
26 Hobcaw LN
Savannah, GA 31411-2508
Mailing address
26 Hobcaw LN
Savannah, GA 31411-2508
Phone (858) 775-8318
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F6692 | TX | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1104032143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 HOBCAW LN",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314112508",
"telephone_number": "858-775-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 HOBCAW LN",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314112508",
"telephone_number": "858-775-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "ALLEN",
"middle_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "F6692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.