Individual provider Active NPI

Bruce Andrew Salzberg, MD

  • Gastroenterology Physician
  • Suwanee, GA
National Provider Identifier
1376528943
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
29775 Issued in GA
Practice address
4395 Johns Creek Pkwy
Suite 130
Suwanee, GA 30024-6048
Phone
(678) 957-0057
Fax
(678) 957-0047
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 29775 GA Primary

Addresses

Primary practice location

4395 Johns Creek Pkwy
Suite 130
Suwanee, GA 30024-6048

Mailing address

4395 Johns Creek Pkwy
Suite 130
Suwanee, GA 30024-6048
Phone (678) 957-0057

Other identifiers 2

IdentifierTypeStateIssuer
581077643OtherGATAX ID
000424476FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WV2 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
I20100210000436 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 5193810083 Reassigns benefits to 1 organization
I20260401001032 WV Practitioner - Gastroenterology 5193810083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 Garfield Ave
Suite 360
Parkersburg, WV 26101-5432

PO Box
Morgantown, WV 26507

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Gastroenterology Specialists, PC Gastroenterology CurrentSince Feb 10, 2010 Accepting new patients
Aga Professional Services, LLC Gastroenterology PastSince Sep 1, 2015 Accepting new patients
Endoscopy Consultants, LLC PastSince Jan 19, 2013 Accepting new patients

Locations

3330 Preston Ridge Rd
Ste 220
Alpharetta, GA 30005
Phone (404) 255-1000

6335 Hospital Pkwy
Ste 208
Johns Creek, GA 30097
Phone (404) 645-7150

5667 Peachtree Dunwoody Rd
Ste 180
Sandy Springs, GA 30342
Phone (678) 957-0057

4395 Johns Creek Pkwy
Ste 130
Suwanee, GA 30024
Phone (678) 957-0057

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1376528943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 JOHNS CREEK PKWY",
            "address_2": "SUITE 130",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246048",
            "telephone_number": "678-957-0057",
            "fax_number": "678-957-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 JOHNS CREEK PKWY",
            "address_2": "SUITE 130",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246048",
            "telephone_number": "678-957-0057",
            "fax_number": "678-957-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZBERG",
        "first_name": "BRUCE",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "29775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "581077643",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000424476F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.