Gary M Grolemund, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000543 Issued in GA

Practice address

10 Professional Dr
Brunswick, GA 31520-3774

Phone

(912) 264-6150

Fax

(912) 264-5712

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1083629893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203774",
            "telephone_number": "912-264-6150",
            "fax_number": "912-264-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203774",
            "telephone_number": "912-264-6150",
            "fax_number": "912-264-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLEMUND",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000322033A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000322033B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoshi T Graham, FNP-C
• Grace Greene, RN
• James Walter Greene, MD
• Joe Stephen Greene, M.D.
• Richard Daniel Griffis III, PHARM.D.
• Cynthia Grovenstein
• William George Grubb, MD
• Guardian Medical Care PLLC
• Colleen Monahan Guetherman, DPT
• Guiding Light Counseling Services LLC

• Podiatrist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.