Active NPI
Alan W Gruning, D.O.
- Family Medicine Physician
- Fort Myers, FL
National Provider Identifier
1932190519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS5181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| TW00530 | KS | MD | Family Medicine Physician |
| 202401664 | NC | MD | Family Medicine Physician |
| V3602 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Center for Health & Wellness LLC | Past | Accepting new patients | |
| Alan W Gruning DO & Associates PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Practice Physician
- Port Charlotte, FL
- NPI 1396951521
-
- General Practice Physician
- Fort Myers, FL
- NPI 1437328341
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
- Grow and Joy Behavior Services LLC
- Growth 4 Kids, LLC
- Felix James Grucci III, DO
- Kelly Grucello, HIS
- Paul Gregory Grumbach, DDS
- GTP Management Inc
- Ireliam Guadalupe, MS, LAT, ATC
- Guardian Angel Transport Non Emergency Medical Services, Inc
- Guardian Cardiac Device Monitoring LLC
- Laura Elizabeth Guarino, MA, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.