Bryan D Grooms, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.010744 Issued in OH

Practice address

PO Box 155
Winchester, OH 45697-0155

Phone

(937) 695-0770

Fax

(888) 230-8394

NPI assigned

Jun 28, 2011

Last updated

Nov 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Adams County Hospital

  dba ACRMC After Hours Care

  • Health Service Clinic/Center
  • West Union, OH
  • NPI 1184954406
  NPD (past)

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1902192941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456970155",
            "telephone_number": "937-695-0770",
            "fax_number": "888-230-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456970155",
            "telephone_number": "937-695-0770",
            "fax_number": "888-230-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "BRYAN",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP627",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.010744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mafalda White French
• Valerie Gifford, COTA
• Cathy Lou Glorius, RN
• Shaun Gould, CDCA
• Laura Louise Graham, LPN
• Tella Halcomb, RN
• Fonda Sherrie Harris, RN
• Tammy Hawthorn, RN
• Jennifer Hickerson, OTR
• Highland Health Providers Corp (Winchester Medical Center)

• Family Medicine Physician in Winchester, OH
• Providers in Winchester, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.