Active NPI
Robert Joshua Grant, D.O.
- Aerospace Medicine Physician
- Fairchild Afb, WA
National Provider Identifier
1619961505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- OP00001664
- Practice address
- 601 Hospital Loop
Fairchild Afb, WA 99011 - Phone
- (509) 247-5755
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | OP00001664 | WA | Primary |
Addresses
Primary practice location
601 Hospital Loop
Fairchild Afb, WA 99011
Mailing address
5125 W Ridgecrest Dr
Spokane, WA 99208-8616
Phone (509) 467-4038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001664 | WA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619961505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 W RIDGECREST DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992088616",
"telephone_number": "509-467-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HOSPITAL LOOP",
"city": "FAIRCHILD AFB",
"state": "WA",
"postal_code": "99011",
"telephone_number": "509-247-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ROBERT",
"middle_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "WA",
"license": "OP00001664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairchild Afb, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.