Individual provider Active NPI

Bengt Josephson Grua, MD

  • Pain Medicine (Anesthesiology) Physician
  • Casper, WY
National Provider Identifier
1275093650
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
17238A Issued in WY
Practice address
1541 Diamond Dr
Casper, WY 82601-6247
Phone
(307) 232-6649
Fax
(307) 215-0898
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21768 NH
Pain Medicine (Anesthesiology) Physician 207LP2900X 17238A WY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1541 Diamond Dr
Casper, WY 82601-6247

Mailing address

1541 Diamond Dr
Casper, WY 82601-6247
Phone (307) 232-6649

Other practice location 1

1 Medical Dr Dept Of
Lebanon, NH 03756-1000
Phone (603) 650-4356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230310000431 NH Practitioner - Anesthesiology 6305171554 Reassigns benefits to 2 organizations
I20240815000207 WY Practitioner - Anesthesiology 6305171554 Reassigns benefits to 1 organization
I20260330003971 WY Practitioner - Pain Management 6305171554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Florida Atlantic University, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gem City Bone and Joint PCGroup PAC ID 0244144715, 21 clinicians
Summit Memorial Medical Group LLCGroup PAC ID 1254876683, 40 clinicians

Practice addresses (Care Compare)

1909 Vista Dr
Laramie, WY 82070-5530
Phone (307) 745-8851

6350 E 2ND St
Casper, WY 82609-4264
Phone (307) 232-6600

7226 Commons Dr
Suite a
Cheyenne, WY 82009-2678
Phone (307) 745-8851

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Memorial Medical Group LLC CurrentSince Aug 1, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic Anesthesiology CurrentSince Sep 11, 2023 Accepting new patients
Amoskeag Anesthesia, PLLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1 Elliot Way
Ste 200
Manchester, NH 03103
Phone (603) 623-4640

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

1541 Diamond Dr
Casper, WY 82601
Phone (307) 224-2060

6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

222 S 5th St
Douglas, WY 82633
Phone (307) 286-6738

2901 Powder Basin Ave
Gillette, WY 82718
Phone (307) 358-6200

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1275093650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 DIAMOND DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016247",
            "telephone_number": "307-232-6649",
            "fax_number": "307-215-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 DIAMOND DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016247",
            "telephone_number": "307-232-6649",
            "fax_number": "307-215-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Dr Dept Of",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUA",
        "first_name": "BENGT",
        "middle_name": "JOSEPHSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "21768",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WY",
            "license": "17238A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.