Active NPI
Kaiberg LLC
- Surgery Physician
- Central, SC
National Provider Identifier
1114896586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- KAIBERG LLC
- Practice address
- 209 Joseph St
Central, SC 29630-9276 - Phone
- (443) 812-5989
- NPI assigned
- Nov 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Hans Gruenberger, MD
- Title
- Direct Owner
- Phone
- (443) 812-5989
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
209 Joseph St
Central, SC 29630-9276
Mailing address
209 Joseph St
Central, SC 29630-9276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Kaiberg LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Columbia, SC
- NPI 1023978533
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1114896586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 JOSEPH ST",
"city": "CENTRAL",
"state": "SC",
"postal_code": "296309276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 JOSEPH ST",
"city": "CENTRAL",
"state": "SC",
"postal_code": "296309276",
"telephone_number": "443-812-5989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAIBERG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "GRUENBERGER",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "HANS",
"authorized_official_title_or_position": "DIRECT OWNER",
"authorized_official_telephone_number": "443-812-5989",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Central, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.