Individual provider Active NPI

David Scott Grouse, MD

  • Neurology Physician
  • Bluefield, VA
National Provider Identifier
1699841213
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
101037445 Issued in VA
Practice address
19 Westwood Medical Park
Bluefield, VA 24605-2003
Phone
(276) 322-5386
Fax
(276) 322-2836
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 101037445 VA Primary

Addresses

Primary practice location

19 Westwood Medical Park
Bluefield, VA 24605-2003

Mailing address

Westwood Medical Park
#13
Bluefield, VA 24605
Phone (276) 322-5386

Other identifiers 2

IdentifierTypeStateIssuer
087422OtherVAANTHEM BLUE CROSS
0091102000OtherWVWV MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110411000869 VA Practitioner - Neurology 9537343827 Practice locations: Bluefield, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101037445VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainwell Counseling, Inc. PastSince Oct 6, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dgrouse@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1699841213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WESTWOOD MEDICAL PARK",
            "address_2": "#13",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "24605",
            "telephone_number": "276-322-5386",
            "fax_number": "276-322-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WESTWOOD MEDICAL PARK",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052003",
            "telephone_number": "276-322-5386",
            "fax_number": "276-322-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUSE",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "101037445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "087422",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAID",
            "identifier": "0091102000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

Verify at the official NPI Registry.