Bruce John Grattan Jr., DO, MS, RD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

316792 Issued in NY

Practice address

Gouverneur Hospital
77 West Barney Street
Gouverneur, NY 13642-1040

Phone

(315) 287-1000

NPI assigned

Apr 29, 2019

Last updated

May 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Gouverneur HospitalGroup PAC ID 9931336724, shared by 3 NPIs, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
• SLHS Massena, Inc Hospital, Massena, NY, CCN 331322
• Gouverneur Hospital Hospital, Gouverneur, NY, CCN 331315

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bgrattan509013@direct.uvmhealth.org

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

• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Medicare reassignment Care Compare group NPD
• Alice Hyde Medical Center

  • Critical Access Hospital
  • Malone, NY
  • NPI 1114954682
  Medicare reassignment NPD
• Gouverneur Hospital

  dba Gouverneur Hospital, Inc. Medical Professional Group

  • Critical Access Hospital
  • Gouverneur, NY
  • NPI 1295156412
  Medicare reassignment NPD
• Gouverneur Hospital

  • Critical Access Hospital
  • Gouverneur, NY
  • NPI 1629409925
  Medicare reassignment NPD
• Massena Hospital Inc

  • Critical Access Hospital
  • Massena, NY
  • NPI 1972604460
  Medicare reassignment NPD
• River Hospital, Inc.

  • Critical Access Hospital
  • Alexandria Bay, NY
  • NPI 1003814641
  Medicare reassignment NPD
• Alice Hyde Medical Center

  • General Practice Physician
  • Malone, NY
  • NPI 1568735660
  NPD
• Canton-Potsdam Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Potsdam, NY
  • NPI 1114104445
  NPD
• Massena Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Massena, NY
  • NPI 1619756640
  NPD
• River Hospital, Inc.

  • Rural Health Clinic/Center
  • Alexandria Bay, NY
  • NPI 1831452994
  NPD
• Medical Services of Suffolk County PC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1811235724
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Care Compare affiliation
• Gouverneur Hospital

  • Critical Access Hospital
  • Gouverneur, NY
  • NPI 1629409925
  Care Compare affiliation
• Massena Hospital Inc

  • Critical Access Hospital
  • Massena, NY
  • NPI 1972604460
  Care Compare affiliation

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1265096911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BRICKHILL AVE UNIT 346",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062188",
            "telephone_number": "860-933-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOUVERNEUR HOSPITAL",
            "address_2": "77 WEST BARNEY STREET",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421040",
            "telephone_number": "315-287-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Massena Hospital",
            "address_2": "1 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Massena",
            "state": "NY",
            "postal_code": "13662",
            "country_code": "US",
            "telephone_number": "315-769-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "River Hosptial",
            "address_2": "4 Fuller Street",
            "address_purpose": "LOCATION",
            "city": "Alexandria Bay",
            "state": "NY",
            "postal_code": "13607",
            "country_code": "US",
            "telephone_number": "315-482-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Alice Hyde Medical Center",
            "address_2": "133 Park Street",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "12953",
            "country_code": "US",
            "telephone_number": "518-483-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Canton Potsdam Hospital",
            "address_2": "50 Leroy Street",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136761786",
            "country_code": "US",
            "telephone_number": "860-933-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRATTAN",
        "first_name": "BRUCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO, MS, RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-05-08",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015003",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "316792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gouverneur Pediatrics,PC
• Gouverneur Physical Therapy, PLLC
• Gouverneur Volunteer Rescue Squad Inc
• Gouverneur Volunteer Rescue Squad Inc
• Jennifer Grant, RPH
• James Grenier, PHARM D
• Teah Lee Griffith
• Payam Hadian, MD
• Christina Harman
• Healthdirect Institutional Pharmacy Services, Inc. (Healthdirect Institutional Pharmacy Services, Inc. #119)

• Emergency Medicine Physician in Gouverneur, NY
• Providers in Gouverneur, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.