MICHAEL GRUBER M D PC NPI 1225155740

NPI Information

  • NPI: 1225155740
  • Provider Name: MICHAEL GRUBER M D PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 903 W APACHE ST
    FARMINGTON, NM
    ZIP 87401
  • Phone: (505) 326-5282

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NPI Details

MICHAEL GRUBER M D PC is a family medicine in Farmington, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MICHAEL GRUBER M D PC NPI is 1225155740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

903 W APACHE ST
FARMINGTON, NM
ZIP 87401-802
Phone: (505) 326-5282

The provider's authorized official is Michael David Gruber .
The authorized official title is President and has the following contact phone number (505) 326-5282.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

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
1207Q00000XFamily Medicine9459NEW MEXICOYes

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
113911MEDICAIDNEW MEXICO

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: 3/30/2025

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