Individual provider Active NPI

William R Greenberg, MD

  • Neurology Physician
  • Largo, FL
National Provider Identifier
1629052733
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
FLME 00039777 Issued in FL
Practice address
801 W Bay Dr
Suite 431
Largo, FL 33770-3269
Phone
(727) 549-8107
Fax
(866) 500-1911
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X FLME 00039777 FL Primary

Addresses

Primary practice location

801 W Bay Dr
Suite 431
Largo, FL 33770-3269

Mailing address

801 W Bay Dr
Suite 431
Largo, FL 33770-3269
Phone (727) 549-8107

Other identifiers 2

IdentifierTypeStateIssuer
62358OtherBC/BS
130000533OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FLME 00039777FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willaim R. Greenberg MD LLC Neurology CurrentSince Mar 21, 2005 Accepting new patients

Locations

801 West Bay Dr
Ste 431
Largo, FL 33770
Phone (727) 549-8107

8831 49th St N
Ste 3
Pinellas Park, FL 33782
Phone (727) 549-8107

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1629052733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BAY DR",
            "address_2": "SUITE 431",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-549-8107",
            "fax_number": "866-500-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR",
            "address_2": "SUITE 431",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-549-8107",
            "fax_number": "866-500-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "FLME 00039777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "62358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "130000533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.