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Deactivated NPI 1922067511 Deactivated / Inactive NPI Male Practitioner

Dr. David L. Kreisberg , MD

Orthopaedic Surgery • Gallup, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Kreisberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2006
NPI Deactivation Date July 17, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Kreisberg, MD was a registered Orthopaedic Surgery practicing in Gallup, NM. Throughout an active medical career spanning 19 years, Dr. Kreisberg provided care at the practice location at 516 E. NIZHONI BLVD. until profile deactivation on 2025-07-17.

Practice Location & Contact Primary Location

Practice Address

516 E. Nizhoni Blvd.

Gallup, NM 873011337

Telephone 5057221000
Fax 5057221256
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 28.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Gallup, NM (162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME93258

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Johanna Palmgren

Registered Nurse - Administrator

NPI 1003001314
Sandra Skeets , RN

Registered Nurse - Ambulatory Care

NPI 1003009945

Registered Nurse

Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Sally Kaufman , RN

Registered Nurse

NPI 1003110537

Registered Nurse

Nancy Davis , RN

Registered Nurse

NPI 1003184201

Registered Nurse

Lorraine Cabrillas , RN

Registered Nurse - Emergency

NPI 1003372004

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2025

Record deactivated on July 17, 2025

NPI Profile Active September 24, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2012

Registered at 516 E. NIZHONI BLVD., GALLUP, NM 873011337 (Tel: 5057221000)

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Updated Business Mailing Address September 24, 2012

Registered at 150 N SYKES CREEK PKWY, STE 300, MERRITT ISLAND, FL 329533488 (Tel: 3214494168)

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Provider Name / Credentials Updated September 24, 2012

Recorded as DAVID KREISBERG, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Orthopaedic Surgery (License #ME93258 in FL)

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Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922067511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2006
Last Update: September 24, 2012
Deactivation Date: July 17, 2025

Mailing Address

150 N Sykes Creek Pkwy, Ste 300

Merritt Island, FL 329533488

Phone: 3214494168

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.