Active NPI
Mark Alan Greenberg, M.D.
- Allergy Physician
- Fort Myers, FL
National Provider Identifier
1275501454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- ME51537
- Practice address
- 12630 Whitehall Dr
Fort Myers, FL 33907-3619 - Phone
- (239) 939-7555
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | ME51537 | FL | Primary |
Addresses
Primary practice location
12630 Whitehall Dr
Fort Myers, FL 33907-3619
Mailing address
12630 Whitehall Dr
Fort Myers, FL 33907-3619
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 |
|---|---|---|---|
| ME51537 | FL | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275501454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12630 WHITEHALL DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12630 WHITEHALL DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073619",
"telephone_number": "239-939-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "FL",
"license": "ME51537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.