Organization Active NPI

Grunberger Diabetes Medical Center, PC

Doing business as Grunberger Diabetes & Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Bloomfield Hills, MI
National Provider Identifier
1215154497
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301049764 Issued in MI
Legal business name
GRUNBERGER DIABETES MEDICAL CENTER, PC
Doing business as
Grunberger Diabetes & Endocrinology
Practice address
43494 Woodward Ave
Suite 208
Bloomfield Hills, MI 48302-5052
Phone
(248) 335-7740
Fax
(248) 338-7979
NPI assigned
Apr 19, 2007
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Dr. George Grunberger, MDNPI 1477558450
Title
Chairman
Phone
(248) 335-7740

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301049764 MI Primary

Addresses

Primary practice location

43494 Woodward Ave
Suite 208
Bloomfield Hills, MI 48302-5052

Mailing address

43494 Woodward Ave
Suite 208
Bloomfield Hills, MI 48302-5052
Phone (248) 335-7740

Other names 1

  • Grunberger Diabetes & Endocrinology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040426000115 MI Part B Supplier - Clinic/Group Practice 9739175530 Receives reassigned benefits from 4 practitioners
Practice locations: Bloomfield Hills, MI
O20250815000166 MI DME Supplier - Physician - Endocrinology 9739175530 Practice locations: Bloomfield Hills, MI

National Provider Directory

National Provider Directory

Locations

43494 Woodward Ave
Ste 2
Bloomfld Hls, MI 48302

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1215154497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "SUITE 208",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025052",
            "telephone_number": "248-335-7740",
            "fax_number": "248-338-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "address_2": "SUITE 208",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025052",
            "telephone_number": "248-335-7740",
            "fax_number": "248-338-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNBERGER DIABETES MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "GRUNBERGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "248-335-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301049764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grunberger Diabetes & Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.