B Chace Griffith MD PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

B CHACE GRIFFITH MD PLLC

Practice address

575 S Wickham Rd Ste a
Melbourne, FL 32904-1170

Phone

(321) 727-8940

NPI assigned

Dec 21, 2022

Last updated

Dec 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Candace McCullough

Title

Physician Practice Manager

Phone

(213) 272-1908

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1194437160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S WICKHAM RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041170",
            "telephone_number": "321-727-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S WICKHAM RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041170",
            "telephone_number": "321-727-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B CHACE GRIFFITH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE MANAGER",
        "authorized_official_telephone_number": "213-272-1908",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ecw",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "575 S Wickham Rd Ste A",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329041170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Urology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.