Provider Demographics
NPI:1922086792
Name:FEINBERG, BRUCE ALAN (DO)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ALAN
Last Name:FEINBERG
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1835 SAVOY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:770-496-9400
Mailing Address - Fax:770-496-9495
Practice Address - Street 1:2712 LAWRENCEVILLE HWY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-2512
Practice Address - Country:US
Practice Address - Phone:770-495-5555
Practice Address - Fax:770-939-2887
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2007-10-18
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Provider Licenses
StateLicense IDTaxonomies
GA029639207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA83BBBGBMedicare PIN
GAD39834Medicare UPIN