Individual provider Active NPI

Brian Josue Gonzalez Granados

  • Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1104752963
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18541 Issued in NC
Practice address
5109 Influence Way
Raleigh, NC 27616-4345
Phone
(919) 239-4805
NPI assigned
Jun 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 18541 NC Primary

Addresses

Primary practice location

5109 Influence Way
Raleigh, NC 27616-4345

Mailing address

3904 Booker Ave
Durham, NC 27713-1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Duke University School of Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Vision Rehab Solutions LLCGroup PAC ID 5496144271, 4 clinicians

Practice addresses (Care Compare)

5109 Influence Way
Raleigh, NC 27616-4345
Phone (919) 239-4805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Low Vision Rehab Solutions, LLC Occupational Therapist CurrentSince Jun 22, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1104752963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 BOOKER AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 INFLUENCE WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164345",
            "telephone_number": "919-239-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GRANADOS",
        "first_name": "BRIAN",
        "middle_name": "JOSUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "18541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.