Individual provider Active NPI

Jeffrey Granett, MD

  • Cardiovascular Disease Physician
  • Bryn Mawr, PA
National Provider Identifier
1841520103
Registry record updated Jan 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD038305E Issued in PA
Practice address
411 Boxwood Rd
Bryn Mawr, PA 19010-1221
Phone
(610) 525-4977
Fax
(610) 525-9717
NPI assigned
Jan 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD038305E PA Primary

Addresses

Primary practice location

411 Boxwood Rd
Bryn Mawr, PA 19010-1221

Mailing address

411 Boxwood Rd
Bryn Mawr, PA 19010-1221
Phone (610) 525-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20260206001333 PA Order and Referring Only - Cardiovascular Disease (Cardiology)Practitioner - Cardiovascular Disease (Cardiology) 8729567185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038305EPAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263081600000",
    "number": "1841520103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BOXWOOD RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101221",
            "telephone_number": "610-525-4977",
            "fax_number": "610-525-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BOXWOOD RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101221",
            "telephone_number": "610-525-4977",
            "fax_number": "610-525-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANETT",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-10",
        "last_updated": "2010-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD038305E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.