NPIMap

Individual provider Active NPI

Henry Gerrard Joseph Gravel Jr., MD

  • General Practice Physician
  • Dartmouth, MA
National Provider Identifier
1821044462
Registry record updated May 12, 2021
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
36492 Issued in MA
Practice address
237 State Rd
Dartmouth, MA 02747-2612
Phone
(508) 979-1100
NPI assigned
May 25, 2006
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 36492 MA Primary

Addresses

Primary practice location

237 State Rd
Dartmouth, MA 02747-2612

Mailing address

237 State Rd
Dartmouth, MA 02747-2612
Phone (508) 979-1100

Other practice location 1

200 Mill Rd
Suite 350
Fairhaven, MA 02719-5252
Phone (508) 999-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000320 MA Practitioner - General Practice 4981625233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Georgetown University School of Medicine, 1969
Medicare assignment
May accept Medicare assignment
Group practices
Premier Healthcare Services LLCGroup PAC ID 9931442381, 12 clinicians

Practice addresses (Care Compare)

7 Schooner CT
New Bedford, MA 02745-1033
Phone (774) 644-9320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Bedford Medical Investors LLC Past Accepting new patients
221 Fitzgerald Drive Operating Company, LLC Past Accepting new patients
Premier Healthcare Services, LLC PastSince Mar 3, 2019 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1821044462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472612",
            "telephone_number": "508-979-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027472612",
            "telephone_number": "508-979-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mill Rd",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Fairhaven",
            "state": "MA",
            "postal_code": "027195252",
            "country_code": "US",
            "telephone_number": "508-999-1100",
            "fax_number": "508-990-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVEL",
        "first_name": "HENRY",
        "middle_name": "GERRARD JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "36492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.