Active NPI
David Mark Grygier, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Pittsfield, MA
National Provider Identifier
1821090119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 79521
- Practice address
- 24 Park St
Pittsfield, MA 01201-4037 - Phone
- (413) 499-6600
- NPI assigned
- Jun 1, 2005
- Reactivated
- Mar 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 79521 | MA | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 050835 | CT |
Addresses
Primary practice location
24 Park St
Pittsfield, MA 01201-4037
Mailing address
24 Park St
Pittsfield, MA 01201-4037
Phone (413) 499-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001508357 | Medicaid | CT | |
| J14574 | Other | MA | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050835 | CT | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 79521 | MA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Care Inc | Past | Accepting new patients | |
| David M Grygier MD LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Pittsfield, MA
- NPI 1144415456
-
- Cardiovascular Disease Physician
- Pittsfield, MA
- NPI 1770792673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1821090119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PARK ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014037",
"telephone_number": "413-499-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 PARK ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014037",
"telephone_number": "413-499-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRYGIER",
"first_name": "DAVID",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2017-05-08",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MA",
"license": "79521",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CT",
"license": "050835",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001508357",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "J14574",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.