Individual provider Active NPI

Melvyn Greberman, M.D.

  • Public Health & General Preventive Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1447569116
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
D0006478 Issued in MD
Practice address
1101 Dale Dr
Silver Spring, MD 20910-1607
Phone
(301) 589-8062
Fax
(661) 885-6739
NPI assigned
Sep 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X D0006478 MD Primary
Diagnostic Radiology Physician 2085R0202X D0006478 MD

Addresses

Primary practice location

1101 Dale Dr
Silver Spring, MD 20910-1607

Mailing address

1101 Dale Dr
Silver Spring, MD 20910-1607
Phone (301) 589-8062

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0006478MDMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1447569116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 DALE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101607",
            "telephone_number": "301-589-8062",
            "fax_number": "661-885-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DALE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101607",
            "telephone_number": "301-589-8062",
            "fax_number": "661-885-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBERMAN",
        "first_name": "MELVYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MD",
            "license": "D0006478",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0006478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

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