Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Bruce Nissenbaum, MD

Individual provider Gastroenterology Physician · NPI 1003894502

Dr. Mark Bruce Nissenbaum, MD is a Gastroenterology Physician in Tuscaloosa, Alabama. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3701 Loop Rd VA Medical Center (679/11)
Tuscaloosa, AL 35404-5015
Phone: (205) 554-2000
Fax: (205) 554-2034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 122786 (NY)

Record details

NPI number1003894502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESJuly 9, 2007
Mailing address3701 Loop Rd, Va Medical Center (679/11), Tuscaloosa, AL 35404-5015

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