Active NPI
Alan D Eisenberg, M.D.
- Specialist
- Germantown, TN
National Provider Identifier
1982656484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 21521
- Practice address
- 7600 Wolf River Blvd
Ste 200
Germantown, TN 38138-1784 - Phone
- (901) 747-1000
- Fax
- (901) 383-8985
- NPI assigned
- May 16, 2006
- Last updated
- Aug 10, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 21521 | TN | Primary |
Addresses
Primary practice location
7600 Wolf River Blvd
Ste 200
Germantown, TN 38138-1784
Mailing address
PO Box 5083
Memphis, TN 38101-5083
Phone (877) 448-8679
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3062300 | Medicaid | TN | |
| 132605 | Other | TN | TN BCBS |
| 96065 | Other | AR | AR BCBS |
| 0116070 | Medicaid | MS | |
| 120412001 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Clinic, PC | Past | Accepting new patients | |
| Neurology Clinic, PC | Specialist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Cordova, TN
- NPI 1538798558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1982656484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5083",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381015083",
"telephone_number": "877-448-8679",
"fax_number": "901-383-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 WOLF RIVER BLVD",
"address_2": "STE 200",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381784",
"telephone_number": "901-747-1000",
"fax_number": "901-383-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "ALAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "21521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3062300",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BCBS",
"identifier": "132605",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "96065",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116070",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120412001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.