GR Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GR MEDICAL PC

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(949) 506-0640

NPI assigned

Dec 6, 2024

Organization subpart

No

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

Authorized official

Name

Ira Beer

Title

Authorized Official

Phone

(949) 506-0640

Specialties & licenses 1

Addresses

Other names 1

• ProMedix Direct Doing business as

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Mireya Nichol Bustamante

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1992541668

  CA

  Medicare reassignment NPD
• Mira Raju Brahmbhatt, PA-C

  • Physician Assistant
  • San Francisco, CA
  • NPI 1891348165

  Internal Medicine

  Medicare reassignment NPD
• Lashika R Meanus, NP-C

  • Primary Care Nurse Practitioner
  • Concord, CA
  • NPI 1528673233
  Medicare reassignment NPD
• Gregory A Robertson, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1932281011

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1649086331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "949-793-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "949-506-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-506-0640"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedix Direct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen M Gouse II, DO
• Govindan P Nair MD PA
• Roy D Gowing, D.C.
• Jon Allen Gozdanovic, MD
• Suzanne Marie Gozdanovic, M.D.
• Gr33N7G LLC
• Chester John Grabowski Jr., ARNP
• Grace Family Dental PLLC
• Grace Full Living for Seniors Inc.
• Grace in Home Primary Care, LLC

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.