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DR. MARK BRUCE NISSENBAUM M.D.
NPI 1003894502
Internal Medicine - Gastroenterology in Tuscaloosa, AL

Active since January 04, 2006
3701 LOOP RD, VA MEDICAL CENTER (679/11), TUSCALOOSA, AL 35404(205) 554-2000(205) 554-2034 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Bruce Nissenbaum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK BRUCE NISSENBAUM M.D. (NPI 1003894502) is an individual gastroenterology provider in Tuscaloosa, Alabama, licensed in New York (122786) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1003894502
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MARK BRUCE NISSENBAUMCredential: M.D.
Location Address3701 LOOP RD, VA MEDICAL CENTER (679/11)Tuscaloosa, AL 35404-5015
Mailing Address3701 Loop Rd, Va Medical Center (679/11)Tuscaloosa, AL 35404-5015 · (205) 554-2000 · Fax (205) 554-2034
Phone(205) 554-2000
Fax(205) 554-2034
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1003894502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 122786
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3701 LOOP RD, Tuscaloosa, AL 35404
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Other Identifiers 1

Medicare UPINOTH000AL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID WILLIAM HOLLINGSWORTH PHD
Psychologist (Clinical)
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
BRITTANY NICOLE BARNES PHARMD
Pharmacist
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
SHANTERELL REDD PHARMD
Pharmacist
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
AMY JUDITH MITCHELL LMSW
Social Worker
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
DR. CARLOS EUGENIO BERRY M.D.
Psychiatry & Neurology (Psychiatry)
3701 LOOP RD, TUSCALOOSA VA MEDICAL CENTER
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2822
DR. DAVID WILLIAM MACVICAR PH.D.
Psychologist (Clinical)
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2822
DORIS D PATTON CRNP
Nurse Practitioner (Family)
3701 LOOP RD
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000
DR. JONATHAN JOSEF SKONICKI MD
Psychiatry & Neurology (Psychiatry)
3701 LOOP RD, TUSCALOOSA VA MEDICAL CENTER,
TUSCALOOSA, AL 35404
Tuscaloosa County (205) 554-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Nissenbaum's NPI number?

The NPI number for Mark Nissenbaum is 1003894502. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Mark Nissenbaum located?

Mark Nissenbaum practices at 3701 Loop Rd VA Medical Center (679/11), Tuscaloosa, AL 35404. The listed phone number is (205) 554-2000.

What is Mark Nissenbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Mark Nissenbaum was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.