Individual provider Active NPI

Micheal Jason Grier, CRNP

  • Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1124304928
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-114072 Issued in AL
Practice address
4810 Bell Hill Rd
Bessemer, AL 35022-6948
Phone
(205) 477-3737
Fax
(205) 477-0373
NPI assigned
Oct 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-114072 AL Primary

Addresses

Primary practice location

4810 Bell Hill Rd
Bessemer, AL 35022-6948

Mailing address

4810 Bell Hill Rd
Bessemer, AL 35022-6948
Phone (205) 477-3737

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-114072ALMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1124304928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BELL HILL RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226948",
            "telephone_number": "205-477-3737",
            "fax_number": "205-477-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BELL HILL RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226948",
            "telephone_number": "205-477-3737",
            "fax_number": "205-477-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIER",
        "first_name": "MICHEAL",
        "middle_name": "JASON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-114072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.