# DR. JARED SCOTT GREENBERG

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639128408
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301093647 | MI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 48756 | WI | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD432290 | PA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | MT188491 | PA | — |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 05/22/2020