Individual provider Active NPI

Grant Thomas Bischof, PA

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1306467709
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11179 Issued in NC
Practice address
10 Page Dr
Pinehurst, NC 28374-8848
Phone
(910) 295-6868
NPI assigned
Apr 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11179 NC Primary

Addresses

Primary practice location

10 Page Dr
Pinehurst, NC 28374-8848

Mailing address

PO Box 1749
Pinehurst, NC 28370-1749
Phone (910) 295-7994

Other identifiers 1

IdentifierTypeStateIssuer
0010-11179OtherNCLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210517000299 NC Practitioner - Physician Assistant 4789093188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-22, LLCGroup PAC ID 7315338324, 12 clinicians

Practice addresses (Care Compare)

10 Page Dr
Pinehurst, NC 28374-8848
Phone (910) 295-6868

295 Olmsted Blvd
Pinehurst, NC 28374-8734
Phone (910) 375-7344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-11179NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-22, LLC CurrentSince Nov 1, 2025 Accepting new patients
MCPC-22, LLC CurrentSince Nov 1, 2025 Accepting new patients
MCPC-22, LLC Past Accepting new patients

Locations

10 Page Dr
Pinehurst, NC 28374
Phone (910) 295-6868

295 Olmsted Blvd
Pinehurst, NC 28374
Phone (910) 375-7344

Interoperability endpoints

  • Direct secure messaging: grantthomasbischof@pn.allscriptsdirect.net

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306467709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283701749",
            "telephone_number": "910-295-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PAGE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748848",
            "telephone_number": "910-295-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCHOF",
        "first_name": "GRANT",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0010-11179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.