Organization Active NPI

Robert a Greenberg MD PA

  • Pulmonary Disease Physician
  • Gainesville, FL
National Provider Identifier
1770976813
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME13988 Issued in FL
Legal business name
ROBERT A GREENBERG MD PA
Practice address
6628 NW 9TH Blvd
Suite 4
Gainesville, FL 32605-4282
Phone
(352) 331-1155
Fax
(352) 331-3371
NPI assigned
Mar 13, 2015
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Dr. Robert Alan Greenberg, MDNPI 1568445997
Title
Pre
Phone
(352) 331-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME13988 FL Primary

Addresses

Primary practice location

6628 NW 9TH Blvd
Suite 4
Gainesville, FL 32605-4282

Mailing address

6628 NW 9TH Blvd
Suite 4
Gainesville, FL 32605-4282
Phone (352) 331-1155

Other identifiers 1

IdentifierTypeStateIssuer
053664400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150327001920 FL Part B Supplier - Clinic/Group Practice 1850618075 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

6628 NW 9th Blvd
Ste 3
Gainesville, FL 32605
Phone (352) 331-1155

6628 NW 9th Blvd
Ste 4
Gainesville, FL 32605
Phone (352) 331-1155

Practitioners & affiliated clinicians

Practitioners 1

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": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1770976813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 NW 9TH BLVD",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054282",
            "telephone_number": "352-331-1155",
            "fax_number": "352-331-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 NW 9TH BLVD",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054282",
            "telephone_number": "352-331-1155",
            "fax_number": "352-331-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A GREENBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRE",
        "authorized_official_telephone_number": "352-331-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME13988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053664400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.