Active NPI
Lawrence Alan Greenberg, D.O.
- Family Medicine Physician
- Cooperstown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.157904
- Practice address
- 1 Atwell Rd
Cooperstown, NY 13326-1301 - Phone
- (607) 547-6936
- NPI assigned
- May 22, 2014
- Last updated
- Sep 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 295162 | NY | |
| Family Medicine Physician | 207Q00000X | 036.157904 | IL | Primary |
Addresses
Primary practice location
1 Atwell Rd
Cooperstown, NY 13326-1301
Mailing address
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-5000
Other practice location 1
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
Other practice location 2
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Other practice location 3
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other practice location 4
965 Fee Road
Room A233 MSU and Affiliated Hospitals
East Lansing, MI 48824
Phone (517) 432-3962
Other practice location 5
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5315065811 | Other | MI | CONTROLLED SUBSTANCE PERMANENT ID |
| 295162 | Other | NY | NY STATE LICENSE |
| 5101021171 | Other | MI | EDUCATIONAL LIMITED LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 443-5000
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Family Medicine | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients |
Locations
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Family Medicine, IL
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Sacred Heart Medical Center
- General Acute Care Hospital
- Danville, IL
- NPI 1699288449
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1669884896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133261301",
"telephone_number": "607-547-6936"
}
],
"practiceLocations": [
{
"address_1": "875 S Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600148190",
"country_code": "US",
"telephone_number": "779-220-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-5431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "965 Fee Road",
"address_2": "Room A233 MSU and Affiliated Hospitals",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "48824",
"country_code": "US",
"telephone_number": "517-432-3962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENBERG",
"first_name": "LAWRENCE",
"middle_name": "ALAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-22",
"last_updated": "2026-09-16",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "295162",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.157904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE PERMANENT ID",
"identifier": "5315065811",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE",
"identifier": "295162",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATIONAL LIMITED LICENSE",
"identifier": "5101021171",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.