MEDICARE: DR. MICHAEL GRONBERG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	036094205	IL
2	208000000X	Pediatrics Physician	Q0449	TX

General Provider Information

NPI Number	:	1639127715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL GRONBERG M.D.

Provider Business Mailing Address
First Line	:	12461 TIMBERLAND BLVD
Second Line	:	SUITE 309
City	:	FORT WORTH
State	:	TX
Zip	:	76244-5213
Country	:	US
Telephone Number	:	817-741-5437
Fax Number	:	888-400-5412

Provider Business Practice Location Address
First Line	:	9445 N BEACH ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-9059
Country	:	US
Telephone Number	:	817-741-5437
Fax Number	:	888-400-5412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	04/20/2022

Similar Medicare Providers

1356334502 — DR. DAVID EDWARD PARMER D.D.S., M.D.
Practice Location Address:

9415 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-2200
Practice Fax: 817-741-2216

1326155854 — DR. JAMES RALPH MACHOLL DDS, M.D.
Practice Location Address:

9415 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-2200
Practice Fax: 817-741-2216

1750469680 — DR. KENNETH BRIAN KING OD
Practice Location Address:

9429 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-442-2020
Practice Fax: 682-499-3856

1033266549 — DR. TIMOTHY A. LEW DDS
Practice Location Address:

9415 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-2200
Practice Fax: 817-741-2216

1881870970 — ALLIANCE ORAL & MAXILLOFACIAL SURGERY, P.A.
Practice Location Address:

9415 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-741-2200
Practice Fax: 817-741-2216

1023336633 — DR. TAYLOR BOYD STRANGE D.O.
Practice Location Address:

9429 N BEACH ST
FORT WORTH, TX
76244-9059

Practice Phone: 817-442-2020
Practice Fax: 682-499-3856

Directions to “ DR. MICHAEL GRONBERG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.