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

Dr. Stacey Gruber, MD

Individual provider Neurology Physician · NPI 1790948073

Dr. Stacey Gruber, MD is a Neurology in Bradenton, Florida. Qualified in 2005, 21 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group and offers telehealth. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2008
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

11715 Rangeland Pkwy
Bradenton, FL 34211-9529
Phone: (941) 538-0087
Fax: (941) 538-0089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME151851 (FL)

Record details

NPI number1790948073
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2008
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address943 S Beneva Rd Ste 306, Sarasota, FL 34232-2499

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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