Provider Demographics
NPI:1518998095
Name:SCHREIBER, ALAN GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:GEORGE
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8926 WOODYARD ROAD
Mailing Address - Street 2:SUITE 701
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-856-1682
Mailing Address - Fax:301-856-0964
Practice Address - Street 1:8926 WOODYARD ROAD
Practice Address - Street 2:SUITE 701
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-856-1682
Practice Address - Fax:301-856-0964
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0041530207X00000X, 207XS0117X
VA0101046472207X00000X
DCMD19209207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD200028350OtherRAILROAD MEDICARE
DC46950008OtherBCBS NCA PROVIDER#
MDS176OtherGROUP BCBS MD PROV#
MDS176OtherGROUP BCBS MD PROV#
683105YZWMedicare PIN
176608Medicare PIN
462L304CMedicare PIN
E95254Medicare UPIN
DC46950008OtherBCBS NCA PROVIDER#
52 1054342OtherTAX ID NUMBER