DR. ALAN IRA REBENSTOCK M.D. NPI 1982674925

NPI Information

NPI: 1982674925
Provider Name: DR. ALAN IRA REBENSTOCK, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 363-7272
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DR. Alan Ira Rebenstock, M.D. is a diagnostic radiology radiology in Grand Rapids, MI with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Alan Ira Rebenstock, M.D. NPI is 1982674925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1997

The provider's business location address is:

3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7272
Fax: (616) 361-5828

The NPI 1982674925 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), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 4/16/2024.

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	2085R0202X	Radiology	Diagnostic Radiology	MD422684	PENNSYLVANIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	4301088832	MICHIGAN	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	101117842	MEDICAID	PENNSYLVANIA

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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