Active NPI
Brandon Joseph Grow, EMT PARAMEDIC
- Paramedic
- McDermitt, NV
National Provider Identifier
1043562101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- P8055188
- Practice address
- 20 Olavarria
Ft. McDermitt E.M.S.
McDermitt, NV 89421 - Phone
- (775) 532-8530
- Fax
- (775) 532-8531
- NPI assigned
- Oct 12, 2012
- Last updated
- Oct 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P8055188 | NV | Primary |
Addresses
Primary practice location
20 Olavarria
Ft. McDermitt E.M.S.
McDermitt, NV 89421
Mailing address
20 Olavarria
Ft. McDermitt E.M.S.
McDermitt, NV 89421
Phone (775) 532-8530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8055188 | NV | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1043562101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OLAVARRIA",
"address_2": "FT. MCDERMITT E.M.S.",
"city": "MCDERMITT",
"state": "NV",
"postal_code": "89421",
"telephone_number": "775-532-8530",
"fax_number": "775-532-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OLAVARRIA",
"address_2": "FT. MCDERMITT E.M.S.",
"city": "MCDERMITT",
"state": "NV",
"postal_code": "89421",
"telephone_number": "775-532-8530",
"fax_number": "775-532-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROW",
"first_name": "BRANDON",
"middle_name": "JOSEPH",
"credential": "EMT PARAMEDIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-12",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "NV",
"license": "P8055188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDermitt, NV
- Fort McDermitt Tribe (Fort McDermitt Wellness Center)
- Fort McDermitt Tribe (Fort McDermitt Wellness Center)
- Fort McDermitt Wellness Center
- Ft. McDermitt Paiute-Shoshone Tribe (Ft. McDermitt Wellness Center)
- Michael Dion Garfield, EMT-I
- Tracy Marshall
- Stacy Irene Rust, RN
- Beverly Ann Shell, LPN-NURSE
- Thelma Rose Simon, LADC, BSW
- Merry Christine Trujillo, EMT-I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.