Organization Active NPI

Physicians Injury Medical Center, LLC

  • Specialist
  • New Port Richey, FL
National Provider Identifier
1275600835
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PHYSICIANS INJURY MEDICAL CENTER, LLC
Practice address
4770 US Highway 19
New Port Richey, FL 34652-4944
Phone
(727) 841-9998
Fax
(727) 841-9848
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jose E Grau Jr., MDNPI 1144393992
Title
President
Phone
(727) 841-9998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH3514 FL
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7939 FL
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4770 US Highway 19
New Port Richey, FL 34652-4944

Mailing address

4770 US Highway 19
New Port Richey, FL 34652-4944
Phone (727) 841-9998

Other identifiers 1

IdentifierTypeStateIssuer
34705OtherFLBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4770 US Highway 19
New Port Richey, FL 34652
Phone (727) 841-9998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275600835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524944",
            "telephone_number": "727-841-9998",
            "fax_number": "727-841-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 US HIGHWAY 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524944",
            "telephone_number": "727-841-9998",
            "fax_number": "727-841-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS INJURY MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAU",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-841-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3514",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7939",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "34705",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.