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

Todd Greenberg, MD

Individual provider Diagnostic Radiology Physician · NPI 1063410421

Todd Greenberg, MD is a Diagnostic Radiology in Bangor, Maine. Qualified in 1997, 29 years ago. Practices with Premier Orthopaedic and Sports Medicine Associates, Ltd, a 219-clinician group and accepts Medicare assignment. Licensed in Arizona, Colorado, Kentucky and Maine and 4 more.

Years since qualifying
29
Licensed in
AZ, CO, KY, ME, OH, OR
In the registry since
2005
Specialties on file
8
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

489 State St
Bangor, ME 04401-6616
Phone: (207) 482-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD24573 (ME)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M0739 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0053167 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD00042413 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 31555 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 38341 (KY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35-077845 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD25383 (OR)

Record details

NPI number1063410421
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021
Mailing address324 Gannett Dr Ste 200, South Portland, ME 04106-3266

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Premier Orthopaedic And Sports Medicine Associates, Ltd — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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