NPI 1619404563 · live from the CMS NPI Registry
Blake Gruenberg, MD
Pediatrics, Pediatric Emergency Medicine in Springdale, AR. National Provider Identifier 1619404563, active.
NPI record
| NPI | 1619404563 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 2601 Gene George Blvd, Springdale, AR 72762 |
| Practice phone | 501-364-3399 |
| Mailing address | 1 Childrens Way # 844, Little Rock, AR 72202 |
| Enumerated | May 22, 2017 |
| Last updated | June 28, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | 61422 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.