Active NPI
Griffith Urology, PLLC
- Urology Physician
- Melbourne, FL
National Provider Identifier
1306545751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- GRIFFITH UROLOGY, PLLC
- Practice address
- 575 S Wickham Rd Ste a
Melbourne, FL 32904-1170 - Phone
- (321) 727-8940
- Fax
- (321) 733-7050
- NPI assigned
- Feb 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian C Griffith, MD
- Title
- Owner
- Phone
- (321) 727-8940
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
575 S Wickham Rd Ste a
Melbourne, FL 32904-1170
Mailing address
575 S Wickham Rd Ste a
Melbourne, FL 32904-1170
Phone (321) 727-8940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2312475 | Griffith Urology PLLC | Accreditation | Dec 15, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/IBGADD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Melbourne, FL
- NPI 1376659615
-
- Physician Assistant
- Melbourne, FL
- NPI 1891098943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677196800000",
"number": "1306545751",
"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",
"fax_number": "321-733-7050"
},
{
"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",
"fax_number": "321-733-7050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRIFFITH UROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A",
"authorized_official_last_name": "GRIFFITH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-727-8940",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.