Wilfredo Grana, M.D.,P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11275 Issued in AL

Legal business name

WILFREDO GRANA, M.D.,P.C.

Practice address

230 E 10TH St Ste 206
Anniston, AL 36207-5764

Phone

(256) 238-8109

Fax

(256) 238-8183

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wilfredo Grana, M.D.NPI 1427120054

Title

Owner

Phone

(256) 238-8109

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

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

• Wilfredo Grana, M.D.

  • Internal Medicine Physician
  • Anniston, AL
  • NPI 1427120054
  Medicare reassignment NPD Authorized official
• Donna Mae Cordes, CRNP

  • Nurse Practitioner
  • Anniston, AL
  • NPI 1164445664
  NPD (past)
• Charles A Downs, MSN, CRNP, CCRN

  • Critical Care Medicine Nurse Practitioner
  • Anniston, AL
  • NPI 1891854717
  NPD (past)
• William J Ferguson Jr., MD

  • Pulmonary Disease Physician
  • Anniston, AL
  • NPI 1821190729
  NPD (past)
• Hector L Salemi-Castro, M.D.

  • Internal Medicine Physician
  • Evergreen, AL
  • NPI 1841223658
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1578619102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 10TH ST STE 206",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075764",
            "telephone_number": "256-238-8109",
            "fax_number": "256-238-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 10TH ST STE 206",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075764",
            "telephone_number": "256-238-8109",
            "fax_number": "256-238-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFREDO GRANA, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "GRANA",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-238-8109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "11275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION",
            "identifier": "1427120054",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00301079",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427120054",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5655",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE FOR LIFE",
            "identifier": "1427120054",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "51003605",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Whitney, PTA
• Michael Roger Wiedmer, MD
• Dawn Dachelet Wilczek, O.D.
• Wildflower Speech and Language Therapy, LLC
• Andrea H Wiley, DMD
• Wilhoite & Associates, P.C.
• Herbert Wilkerson
• William J. Fergson, Jr., MD PC
• Shane Clinton Williamon I, CRNP
• Corinne Elicia Bloom Williams

• Internal Medicine Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.