Henry Gerrard Joseph Gravel Jr., MD

Key facts

NPI

1821044462

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Physician 208D00000X

License

36492 (MA)

Practice address

237 State Rd
Dartmouth, MA 02747-2612

Phone

(508) 979-1100

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Premier Healthcare Services, LLC Geriatric Medicine (Internal Medicine) Physician · Dartmouth, MA · NPI 1174089163
  Medicare reassignment Care Compare group MA
• Prime Medical Associates,LLC Geriatric Medicine (Internal Medicine) Physician · North Dartmouth, MA · NPI 1316261993
  Medicare reassignment MA
• 221 Fitzgerald Drive Operating Company, LLC Skilled Nursing Facility · New Bedford, MA · NPI 1255339040
  NPD (past)
• New Bedford Medical Investors LLC Skilled Nursing Facility · New Bedford, MA · NPI 1104886613
  NPD (past)
• Premier Healthcare Services, LLC Internal Medicine Physician · Rockville, MD · NPI 1881068898
  NPD (past)

Hospital & facility affiliations 6

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

• 221 Fitzgerald Drive Operating Company, LLC Skilled Nursing Facility · New Bedford, MA · NPI 1255339040
  Care Compare affiliation Nursing home
• Care Alternatives of Massachusetts, LLC Community Based Hospice Care Agency · Worcester, MA · NPI 1053379388
  Care Compare affiliation Hospice
• Kimwell Nursing SNF Operations BHC Skilled Nursing Facility · Fall River, MA · NPI 1245967280
  Care Compare affiliation Nursing home
• New Bedford Medical Investors LLC Skilled Nursing Facility · New Bedford, MA · NPI 1104886613
  Care Compare affiliation Nursing home
• Southcoast Hospitals Group, Inc General Acute Care Hospital · Wareham, MA · NPI 1922024835
  Care Compare affiliation Hospital
• Southcoast Visiting Nurse Association, Inc Community Based Hospice Care Agency · Fairhaven, MA · NPI 1801990452
  Care Compare affiliation Hospice

Medicare Care Compare profile

Specialty

General Practice

Education

Georgetown University School of Medicine, 1969

Medicare assignment

May accept Medicare assignment

Group practices

Premier Healthcare Services LLC (12 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascend Hospice Hospice · Worcester, MA · CCN 221566
• Hospice and Palliative Care Hospice · Fairhaven, MA · CCN 221536
• Southcoast Hospitals Group Hospital · Fall River, MA · CCN 220074
• Care One at New Bedford Nursing home · New Bedford, MA · CCN 225650
• Oaks, The Nursing home · New Bedford, MA · CCN 225328
• Kimwell Nursing and Rehabilitation Nursing home · Fall River, MA · CCN 225194

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 12, 2021.

{
    "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": []
}

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All providers in Dartmouth, MA · General Practice Physician in Massachusetts