Bruce Alan Feinberg, DO
Individual provider Active NPI Hematology & Oncology Physician · Decatur, GA
NPI 1922086792 · NPPES record last updated Oct 18, 2007
Key facts
- NPI
- 1922086792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 029639 (GA)
- Practice address
- 2712 Lawrenceville Hwy
Decatur, GA 30033-2512 - Phone
- (770) 495-5555
- Fax
- (770) 939-2887
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Cancer Specialists I, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 029639 | GA | Yes |
Addresses
Primary practice location
2712 Lawrenceville Hwy
Decatur, GA 30033-2512
Mailing address
1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072
Phone (770) 496-9400
NPI Registry JSON
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1922086792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411072",
"telephone_number": "770-496-9400",
"fax_number": "770-496-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 LAWRENCEVILLE HWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300332512",
"telephone_number": "770-495-5555",
"fax_number": "770-939-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEINBERG",
"first_name": "BRUCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "029639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
- Juniper Fedor
- Stephanie Feely
- Mark William Feeman
- Kathryn Fehrenbach-Chin
- Daniel Feikin
- Emma Kellaway Feinberg
- Teshara Felder
- Stephen Feldman
- Jasmin R Felton
- Fang Feng
All providers in Decatur, GA · Hematology & Oncology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.