MARK ALAN GREENBERG M.D. NPI 1275501454

NPI Information

  • NPI: 1275501454
  • Provider Name: MARK ALAN GREENBERG, M.D.
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Individual
  • Address: 12630 WHITEHALL DR
    FORT MYERS, FL
    ZIP 33907
  • Phone: (239) 939-7555

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NPI Details

Mark Alan Greenberg, M.D. is an allergy allergy immunology in Fort Myers, FL. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Mark Alan Greenberg, M.D. NPI is 1275501454. 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:

12630 WHITEHALL DR
FORT MYERS, FL
ZIP 33907-619
Phone: (239) 939-7555

The enumeration date for this NPI number is 3/14/2006 and was last updated on 7/8/2007.

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
1207KA0200XAllergy & ImmunologyAllergyME51537FLORIDAYes

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
1D61300MEDICARE UPINFLORIDA
205845MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 11/21/2025

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