Gary David Grossfeld, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G72165 Issued in CA

Practice address

1000 S. Eliseo Dr.
Suite #201
Greenbrae, CA 94904

Phone

(415) 461-4000

NPI assigned

Jul 18, 2006

Last updated

Jun 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Marin Urology Medical Group, Inc

  • Urology Physician
  • Greenbrae, CA
  • NPI 1235169541
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1295754851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S. ELISEO DR.",
            "address_2": "SUITE #201",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-461-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S. ELISEO DR.",
            "address_2": "SUITE #201",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-461-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSFELD",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G72165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G721651",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron Greene, PH.D
• Lisa-Sun Gresham
• Gery Charles Grey, DDS
• Daniel Anthony Grier, MD
• Kristin Nicole Griffith, CCP
• Susan Guidici, CRNA
• David S. Gullion, M.D.
• Lisa Gunnarsson, R.N.F.A.
• Donald Walton Guttman, DDS
• Emir Barbaros Safak Guven, MD

• Urology Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.