Individual provider Active NPI

Michael Crispin Grebner, M. D.

  • Adult Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1790940963
Registry record updated Jul 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
32993 Issued in WI
Practice address
949 N 9TH St
Health Services Unit
Milwaukee, WI 53233-1422
Phone
(414) 226-7147
Fax
(414) 226-7159
NPI assigned
Jul 27, 2008
Last updated
Jul 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 32993 WI Primary

Addresses

Primary practice location

949 N 9TH St
Health Services Unit
Milwaukee, WI 53233-1422

Mailing address

949 N 9TH St
Health Services Unit
Milwaukee, WI 53233-1422
Phone (414) 226-7147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217116800000",
    "number": "1790940963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 N 9TH ST",
            "address_2": "HEALTH SERVICES UNIT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331422",
            "telephone_number": "414-226-7147",
            "fax_number": "414-226-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 N 9TH ST",
            "address_2": "HEALTH SERVICES UNIT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331422",
            "telephone_number": "414-226-7147",
            "fax_number": "414-226-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBNER",
        "first_name": "MICHAEL",
        "middle_name": "CRISPIN",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-27",
        "last_updated": "2008-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WI",
            "license": "32993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2008; 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.