DAVID C GREENBERG D.P.M. NPI 1760434674

NPI Information

NPI: 1760434674
Provider Name: DAVID C GREENBERG, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
948 NE 102ND AVE
SUITE 103
PORTLAND, OR
ZIP 97220
Phone: (503) 257-8886
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David C Greenberg, D.P.M. is a foot surgery podiatrist in Portland, OR. David C Greenberg, D.P.M. NPI is 1760434674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

948 NE 102ND AVE
SUITE 103
PORTLAND, OR
ZIP 97220-064
Phone: (503) 257-8886
Fax: (503) 251-1892

The NPI 1760434674 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/17/2006 and was last updated on 10/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	DP00129	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16851-8	MEDICAID	OREGON
2	93075402-9722-A002	OTHER	OREGON	TRICARE
3	756480632	OTHER	OREGON	MEDICARE RAILROAD
4	1006360	MEDICAID	WASHINGTON
5	001487000	OTHER	OREGON	REGENCE BLUE CROSS
6	T67669	MEDICARE UPIN	OREGON
7	0313830001	MEDICARE NSC	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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