Individual provider Active NPI

Eric Hans Gruenberger, MD

  • General Practice Physician
  • Columbia, SC
National Provider Identifier
1174975734
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
89869 Issued in GA
Practice address
232 Bent Holly Dr
Columbia, SC 29209
Phone
(443) 812-5989
Fax
(443) 558-3676
NPI assigned
Jul 7, 2016
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 94207 SC
Surgery Physician 208600000X 94207 SC
Surgery Physician 208600000X 89869 GA
General Practice Physician 208D00000X 89869 GA Primary
General Practice Physician 208D00000X 94207 SC

Addresses

Primary practice location

232 Bent Holly Dr
Columbia, SC 29209

Mailing address

9 Marsh Creek Dr
Mauldin, SC 29662-3150
Phone (443) 812-5989

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DRG@HDO-UPSTATE.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220812001107 GA Practitioner - General Surgery 8628451317 Reassigns benefits to 2 organizations
I20250422003754 SC Practitioner - General SurgeryPractitioner - Orthopedic Surgery 8628451317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Mobile Wound Care, LLCGroup PAC ID 1557894524, 2 clinicians

Practice addresses (Care Compare)

209 Joseph St
Central, SC 29630-9276
Phone (443) 812-5989

56 Pointe Cir
Greenville, SC 29615-3506
Phone (864) 757-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue54
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89869GAMDSurgery Physician
94207SCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiberg LLC Surgery CurrentSince Nov 24, 2025 Accepting new patients
Kaiberg LLC Surgery CurrentSince Sep 2, 2025 Accepting new patients
New Life Health LLC General Practice CurrentSince Apr 9, 2025 Accepting new patients
Vohra Wound Physicians of FL, LLC General Practice CurrentSince Jul 25, 2022 Accepting new patients
Kaiberg, LLC Orthopaedic Surgery CurrentSince Nov 18, 2025 Accepting new patients
Advanced Mobile Wound Care, LLC General Practice CurrentSince Apr 9, 2025 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

100 Bull St
Ste 200
Savannah, GA 31401
Phone (770) 478-3013

56 Pointe Cir
Greenville, SC 29615
Phone (864) 757-8500

56 Pointe Cir
Ste 200
Greenville, SC 29615

Interoperability endpoints

  • Direct secure messaging: drg@hdo-upstate.com
  • Direct secure messaging: egruenberger79792@direct.nemours.org
  • Direct secure messaging: eric.gruenberger@hca5.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1174975734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MARSH CREEK DR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296623150",
            "telephone_number": "443-812-5989",
            "fax_number": "443-558-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BENT HOLLY DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29209",
            "telephone_number": "443-812-5989",
            "fax_number": "443-558-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENBERGER",
        "first_name": "ERIC",
        "middle_name": "HANS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "94207",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "94207",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "89869",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "89869",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "94207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DRG@HDO-UPSTATE.COM",
            "affiliation": "N",
            "endpointDescription": "ONLINE APPLICATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "232 Bent Holly Dr",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.