Organization Active NPI

Glenn E. Graybeal, MD, PA

  • Surgery Physician
  • Milford, DE
National Provider Identifier
1700835311
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GLENN E. GRAYBEAL, MD, PA
Practice address
1 Sussex Ave
Milford, DE 19963-1853
Phone
(302) 422-3377
Fax
(302) 422-9580
NPI assigned
May 9, 2006
Last updated
Jan 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Dr. Glenn E Graybeal, MDNPI 1023016615
Title
President
Phone
(302) 422-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1 Sussex Ave
Milford, DE 19963-1853

Mailing address

1 Sussex Ave
PO Box 929
Milford, DE 19963-1853
Phone (302) 422-3377

Other identifiers 1

IdentifierTypeStateIssuer
0000073902MedicaidDE

National Provider Directory

National Provider Directory

Locations

1 Sussex Ave
Milford, DE 19963
Phone (302) 327-9219

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1700835311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUSSEX AVE",
            "address_2": "PO BOX 929",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631853",
            "telephone_number": "302-422-3377",
            "fax_number": "302-422-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUSSEX AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631853",
            "telephone_number": "302-422-3377",
            "fax_number": "302-422-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN E. GRAYBEAL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "GRAYBEAL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-422-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000073902",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.