Individual provider Active NPI

Brian Chace Griffith, MD

  • Urology Physician
  • Melbourne, FL
National Provider Identifier
1376659615
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME137265 Issued in FL
Practice address
575 S Wickham Rd Ste a
Melbourne, FL 32904-1170
Phone
(321) 727-8940
Fax
(321) 733-7050
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME137265 FL
Urology Physician 208800000X ME137265 FL 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

Other identifiers 2

IdentifierTypeStateIssuer
100361000MedicaidFL
P2332OtherFLMEDICARE HF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180820003048 FL Practitioner - UrologyPractitioner - Hospitalist 8022161132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Hospitalist
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

575 S Wickham Rd
Suite a
Melbourne, FL 32904-1170
Phone (321) 727-8940

Hospital & facility affiliations

  • Nayar Health Care Melbourne LLC Home health agency, Titusville, FL, CCN 687309
  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137265FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Griffith Urology, PLLC Urology CurrentSince Feb 24, 2023 Accepting new patients

Locations

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

575 S Wickham Rd
Ste A
West Melbourne, FL 32904
Phone (321) 308-5060

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGADD/Endpoint/IBGADD

Organizations & group practices 2

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 8

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1376659615",
    "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"
        },
        {
            "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": {
        "last_name": "GRIFFITH",
        "first_name": "BRIAN",
        "middle_name": "CHACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME137265",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME137265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "P2332",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.