Active NPI
Glenn E. Graybeal, MD, PA
- Surgery Physician
- Milford, DE
National Provider Identifier
1700835311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn E Graybeal, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000073902 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Milford, DE
- NPI 1023016615
-
- Surgery Physician
- Milford, DE
- NPI 1942208459
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.