Individual provider Active NPI

Bruce Greenberg, M.D.

  • Family Medicine Physician
  • King City, CA
National Provider Identifier
1376529867
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G32040 Issued in CA
Practice address
210 Canal St
King City, CA 93930-3432
Phone
(831) 385-7169
Fax
(831) 385-5940
NPI assigned
Dec 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G32040 CA Primary

Addresses

Primary practice location

210 Canal St
King City, CA 93930-3432

Mailing address

210 Canal St
King City, CA 93930-3432
Phone (831) 385-7169

Other identifiers 1

IdentifierTypeStateIssuer
G320401MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000715 CA Practitioner - Family Practice 8820147978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

210 Canal St
King City, CA 93930-3432
Phone (931) 385-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G32040CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital CurrentSince Sep 15, 2018 Accepting new patients

Locations

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

Organizations & group practices 1

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 6

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376529867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CANAL ST",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303432",
            "telephone_number": "831-385-7169",
            "fax_number": "831-385-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CANAL ST",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303432",
            "telephone_number": "831-385-7169",
            "fax_number": "831-385-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G32040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G320401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King City, CA

Sources for this page

Verify at the official NPI Registry.