Healthcare Provider Details

I. General information

NPI: 1477489268
Provider Name (Legal Business Name): BRENDA W GREENBERG RT(R)(CT) CIIP PMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 HILLSBOROUGH RD
CHAPEL HILL NC
27516-4615
US

IV. Provider business mailing address

801 HILLSBOROUGH RD
CHAPEL HILL NC
27516-4615
US

V. Phone/Fax

Practice location:
  • Phone: 919-289-9145
  • Fax:
Mailing address:
  • Phone: 919-289-9145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License NumberASRT473191
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: