Individual provider Active NPI

Alan W Gruning, D.O.

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1932190519
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5181 Issued in FL
Practice address
13450 Parker Commons Blvd Ste 103
Fort Myers, FL 33912-1834
Phone
(239) 939-3303
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X V3602 TX
Family Medicine Physician 207Q00000X 202401664 NC
Family Medicine Physician 207Q00000X TW00530 KS
Family Medicine Physician 207Q00000X OS5181 FL Primary

Addresses

Primary practice location

13450 Parker Commons Blvd Ste 103
Fort Myers, FL 33912-1834

Mailing address

6900 Daniels Pkwy Ste 29-173
Fort Myers, FL 33912-7513
Phone (239) 939-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 3, 2024 through Apr 3, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TW00530KSMDFamily Medicine Physician
202401664NCMDFamily Medicine Physician
V3602TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Center for Health & Wellness LLC Past Accepting new patients
Alan W Gruning DO & Associates PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alan.gruning.1@15823.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1932190519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 DANIELS PKWY STE 29-173",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127513",
            "telephone_number": "239-939-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 PARKER COMMONS BLVD STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121834",
            "telephone_number": "239-939-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNING",
        "first_name": "ALAN",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3602",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "202401664",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "TW00530",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.