Active NPI
Richard Paul Greenberg, MD
- Neurological Surgery Physician
- Charlotte, NC
National Provider Identifier
1902058852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 9701758
- Practice address
- 3900 Colony Road Ste-C
Ageless Remedies
Charlotte, NC 28211-5022 - Phone
- (704) 364-3332
- Fax
- (704) 405-3838
- NPI assigned
- Oct 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 9701758 | NC | Primary |
Addresses
Primary practice location
3900 Colony Road Ste-C
Ageless Remedies
Charlotte, NC 28211-5022
Mailing address
2910 Selwyn Ave
Ste 327
Charlotte, NC 28209-1762
Phone (704) 364-3332
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9701758 | NC | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1902058852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 SELWYN AVE",
"address_2": "STE 327",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282091762",
"telephone_number": "704-364-3332",
"fax_number": "704-405-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 COLONY ROAD STE-C",
"address_2": "AGELESS REMEDIES",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115022",
"telephone_number": "704-364-3332",
"fax_number": "704-405-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "RICHARD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NC",
"license": "9701758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.