Organization Active NPI

Brian L Grant MD Inc PS

  • Medical Specialty Clinic/Center
  • Seattle, WA
National Provider Identifier
1861366676
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BRIAN L GRANT MD INC PS
Practice address
1158 17TH Ave E
Seattle, WA 98112-3315
Phone
(206) 447-3449
NPI assigned
Oct 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Brian Lowell Grant, MDNPI 1518089986
Title
Manager
Phone
(206) 447-3449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1158 17TH Ave E
Seattle, WA 98112-3315

Mailing address

1158 17TH Ave E
Seattle, WA 98112-3315
Phone (206) 447-3449

Other practice location 1

1700 7th Ave Fl 21
Seattle, WA 98101-1397
Phone (206) 447-3449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251103001490 WA Part B Supplier - Clinic/Group Practice 0941799522 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1700 7th Ave
Fl 21
Seattle, WA 98101
Phone (206) 447-3449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1861366676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 17TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123315",
            "telephone_number": "206-447-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 17TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123315",
            "telephone_number": "206-447-3449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 7th Ave Fl 21",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011397",
            "country_code": "US",
            "telephone_number": "206-447-3449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIAN L GRANT MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-447-3449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.