Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK BRUCE NISSENBAUM, M.D.

Active

DR. MARK BRUCE NISSENBAUM, M.D. is a Gastroenterology healthcare provider located in TUSCALOOSA, Alabama. NPI 1003894502 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · TUSCALOOSA, AL

Registration Details

NPI Number: 1003894502
Provider Type: Individual
Gender: Male
NPI Issued: Jan 4, 2006 (20.583673023848 yrs)
Last Updated: Jul 9, 2007
License: 122786 (NY)

Practice Information

Address: 3701 LOOP RD

VA MEDICAL CENTER (679/11)

TUSCALOOSA, AL, 354045015
Browse AL providers · Browse ZIP 35404
Phone: 2055542000
Fax: 2055542034
Primary Specialty: Gastroenterology
207RG0100X

Other Gastroenterology Providers in TUSCALOOSA, AL

Name	Credential	NPI
MR. CLARENCE DONALD HOWE	MD	1326085200
SUBRAMANIAM BALA SUNDAR	MD	1699713008
MR. JULIUS DEWAYNE TOOSON	MD	1639117278
MR. WILLIAM GARDNER ROWELL	MD FACP	1538109442
MR. DONNIE RAY SMITH	MD	1811938889
ADISESHA B REDDY	MD	1407968167

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.