Bruce M Grossman M D P a

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0053017 Issued in FL

Legal business name

BRUCE M GROSSMAN M D P A

Practice address

3370 Burns Rd
105
Palm Beach Gardens, FL 33410-4327

Phone

(561) 691-9660

Fax

(561) 691-9633

NPI assigned

Mar 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lois T Carlisle

Title

Office Manager

Phone

(561) 691-9660

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1033381280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD",
            "address_2": "105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-691-9660",
            "fax_number": "561-691-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD",
            "address_2": "105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-691-9660",
            "fax_number": "561-691-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE M GROSSMAN M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-691-9660"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "0053017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049666900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenna Marie Brown
• Sayge Alexandria Brown
• Sierra Nakia Brown
• Stacey Deese Brown, ARNP
• Bruce a Goldberg DC PA
• Mathias Bruefach III, MD
• Angelina Bruno
• Courtney Marie Bryant-Perkins
• Andrea Bucaro, PT, DPT
• Ashlyn Nicole Buchan

• Gastroenterology Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.