Individual provider Active NPI

Brent M Greenberg, MD

  • Body Imaging Physician
  • Highland Park, IL
National Provider Identifier
1467523217
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Practice address
1535 Park Ave West
Greenberg Radiology Imaging
Highland Park, IL 60035-2240
Phone
(847) 831-0500
Fax
(847) 831-9490
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X IL Primary

Addresses

Primary practice location

1535 Park Ave West
Greenberg Radiology Imaging
Highland Park, IL 60035-2240

Mailing address

1535 Park Ave West
Greenberg Radiology Imaging
Highland Park, IL 60035-2240
Phone (847) 831-0500

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1467523217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 PARK AVE WEST",
            "address_2": "GREENBERG RADIOLOGY IMAGING",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352240",
            "telephone_number": "847-831-0500",
            "fax_number": "847-831-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 PARK AVE WEST",
            "address_2": "GREENBERG RADIOLOGY IMAGING",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352240",
            "telephone_number": "847-831-0500",
            "fax_number": "847-831-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "BRENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.