Individual provider Active NPI

Brett Tyler Grobman, DO

  • Family Medicine Physician
  • Ocean Springs, MS
National Provider Identifier
1578917217
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29627 Issued in MS
Practice address
1216 Government St
Ocean Springs, MS 39564-3820
Phone
(228) 313-0506
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29627 MS Primary

Addresses

Primary practice location

1216 Government St
Ocean Springs, MS 39564-3820

Mailing address

1216 Government St
Ocean Springs, MS 39564-3820
Phone (228) 313-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20171020001623 OK Practitioner - Family PracticePractitioner - Emergency Medicine 5597031401 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Nov 1, 2017 Accepting new patients
Midwest Hospitalist Group PLLC CurrentSince Oct 1, 2020 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Nov 1, 2017 Accepting new patients
Mangum City Hospital Authority CurrentSince Oct 1, 2021 Accepting new patients
Mangum City Hospital Authority CurrentSince Oct 1, 2021 Accepting new patients
Hospital Care Consultants, Inc CurrentSince Jun 5, 2020 Accepting new patients
Williams Medical Group Practice, LLC Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Emergency Physicians of Midwest City, LLC CurrentSince Oct 1, 2020 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Jun 15, 2020 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Dec 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients

Locations

416 N Main St
Altus, OK 73521
Phone (580) 379-0325

100 N 30th St
Clinton, OK 73601
Phone (580) 323-2363

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

6744 NW Cache Rd
Lawton, OK 73505
Phone (580) 536-9355

1 Wickersham St
Mangum, OK 73554
Phone (580) 782-3353

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1578917217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 GOVERNMENT ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643820",
            "telephone_number": "228-313-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 GOVERNMENT ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643820",
            "telephone_number": "228-313-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBMAN",
        "first_name": "BRETT",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "29627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.