Brittany Anne Grudzielanek

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

V1777 Issued in TX

Practice address

940 S Legacy Dr Ste 20
Prosper, TX 75078-2940

Phone

(214) 389-8801

Fax

(214) 389-8802

NPI assigned

Mar 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bgrudzielanek444167@direct.childrens.com

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.

• Dallas Physician Medical Services for Children Inc

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1194153650
  Medicare reassignment NPD
• Dallas Physician Medical Services for Children Inc

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1558407908
  NPD
• Complex Care Medical Services Corporation

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1013256098
  NPD (past)

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1700463460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S LEGACY DR STE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782940",
            "telephone_number": "214-389-8801",
            "fax_number": "214-389-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S LEGACY DR STE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782940",
            "telephone_number": "214-389-8801",
            "fax_number": "214-389-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUDZIELANEK",
        "first_name": "BRITTANY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V1777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Kelly Greenawalt
• Janelle Griffin, APRN, CPNP-AC
• Emily Claire Griffith
• Brooke Makenzie Grimes
• April Grodger
• Jenna Gruver
• Kassie Guerra
• Guignard Anesthesia Services PLLC
• Jonathan Guinto, PA-C
• Hannah Gunyon

• Pediatrics Physician in Prosper, TX
• Providers in Prosper, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.