Organization Active NPI

Grossinger Neuropain Specialists, PA

  • Neurology Physician
  • Wilmington, DE
National Provider Identifier
1952506685
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GROSSINGER NEUROPAIN SPECIALISTS, PA
Practice address
4100 Dawnbrook Dr
Suite 4
Wilmington, DE 19804-3932
Phone
(302) 636-0920
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Bruce H Grossinger, MDNPI 1578546024
Title
Authorized Official
Phone
(302) 636-0920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4100 Dawnbrook Dr
Suite 4
Wilmington, DE 19804-3932

Mailing address

4100 Dawnbrook Dr
Suite 4
Wilmington, DE 19804-3932
Phone (302) 636-0920

Other identifiers 1

IdentifierTypeStateIssuer
1000041520MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000640 DE Part B Supplier - Clinic/Group Practice 2264521723 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1952506685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 DAWNBROOK DR",
            "address_2": "SUITE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043932",
            "telephone_number": "302-636-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DAWNBROOK DR",
            "address_2": "SUITE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043932",
            "telephone_number": "302-636-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSINGER NEUROPAIN SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "GROSSINGER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "302-636-0920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000041520",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.