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Contact Information

GERALD E GRONBORG, DPM
214 PEACH ORCHARD RD
MCCONNELLSBURG, PA17233-8559
 Phone: 717-485-3155
 Fax: 717-485-6105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GERALD E GRONBORG · (Male)

NPI # 1902884950
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/09/2006
Last updated 08/22/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • PA License # SC003442L
  • PA Medicaid 0012762560009
  • PA Medicaid 0012762560010
  • PA Medicaid 0012762560012
  • PA Other 2805196 AETNA HMO QPOS
  • PA Other 21128765012 BEECH STREET
  • PA Other 826758 BLUE SHIELD GROUP
  • PA Other GR706203 BLUE SHIELD INDIVIDUAL
  • PA Other 1022107 GATEWAY
  • PA Other 000706203 KEYSTONE HEALTH PLAN
  • PA Other 7318023 MAMSI
  • PA Other P 54229714 MULTIPLAN
  • PA Other 5166987 PPNI
  • PA Other 0857830000 PPO PROGRAM INDEPENDENCE
  • PA Other CC2226 RR MEDICARE GROUP
  • PA Other 480013965 RR MEDICARE INDIVIDUAL
  • PA Other 000000060525 UNISON
  • PA Other 200069 UPMC
Hospital affiliation(s)
  • UPMC BEDFORD - (Acute Care)
    10455 LINCOLN HIGHWAY
    EVERETT, PA 15537
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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