Dr. Blake Gruenberg

MD | Pediatric Emergency Medicine | Male

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Complete Profile:

Dr. Blake Gruenberg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Dr. Blake Gruenberg
Credential :	MD
Gender :	Male

Business Address:

Dr. Blake Gruenberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3601 The Vanderbilt Clinic Nashville, TN, 37232-4637 United States
Phone Number :	615-322-3000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1619404563
NPI Entity Type :	Individual
First Enrolment Date :	22 May, 2017
Last Updated On :	31 Mar, 2022

Medicare Participation:

Dr. Blake Gruenberg participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4981018934
Medicare Enrollment ID :	I20210202002632
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2017
Accepts Medicare?	Yes. Dr. Blake Gruenberg accepts medicare insurance.

Group Practice Association:

Dr. Blake Gruenberg is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Blake Gruenberg is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Vanderbilt University Medical Center	5092023416	2611	1301 22nd Ave S Nashville, TN - 372325100 Ph: 6153223000	Yes
Vanderbilt University Medical Center	5092023416	2611	3601 The Vanderbilt Clinic Nashville, TN - 372325100 Ph: 6153223000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Blake Gruenberg are as mentioned. Primary taxonomy code for Dr. Blake Gruenberg, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	61422	TN

Other Practice Locations:

Practice Address	City, State	Phone Number
1200 CHILDRENS AVE STE 14044, OKLAHOMA CITY, OK, 73104-4637 United States	OKLAHOMA CITY, OK	918-527-9401

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3841 Green Hills Village Dr Ste 200 Nashville, TN, 37215-2691 United States
Phone Number :	615-936-2000

Business Location:

Patients can refer following map for directions to Dr. Blake Gruenberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.