Active NPI
David Elbert Grayson, M.D
- Neurological Surgery Physician
- Bellevue, WA
National Provider Identifier
1760752240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- FE0247684
- Practice address
- 17625 SE 45TH PL
Bellevue, WA 98006-6520 - Phone
- (206) 954-4444
- NPI assigned
- Dec 30, 2011
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | FE0247684 | WA | Primary |
Addresses
Primary practice location
17625 SE 45TH PL
Bellevue, WA 98006-6520
Mailing address
17625 SE 45TH Place
Bellevue, WA 98006-6520
Phone (206) 954-4444
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FE0247684 | WA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1760752240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17625 SE 45TH PLACE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980066520",
"telephone_number": "206-954-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17625 SE 45TH PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980066520",
"telephone_number": "206-954-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "DAVID",
"middle_name": "ELBERT",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-30",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "FE0247684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.