DR. BRIAN CORMAC MAC GRORY (NPI# 1073875951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073875951 |
| Entity Type | Individual |
| Full Name | DR. BRIAN CORMAC MAC GRORY |
| Credential | M.D. |
| Practice Address |
593 Eddy Street Apc 5 Providence RI 02903 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4513 |
| Practice Telephone | 4014446440 |
| Practice Fax Number | 4014446858 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
MD15639 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
593 EDDY STREET APC 5 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065430 | Sandra M Jamieson | Physician Assistant | 593 Eddy Street, Grad Dorms, Providence, RI 02903 | 2005-07-07 |
| 1447810742 | Lucasjorge Santana De Castro Alves | Internal Medicine | 593 Eddy Street, Rhode Island Hospital, Providence, RI 02903 | 2019-06-18 |
| 1659935070 | Janine Pedersen | Nurse Practitioner | 593 Eddy Street, Apc Main, Providence, RI 02903 | 2019-05-01 |
| 1851853972 | Clarence Chow | Anesthesiology | 593 Eddy Street, Davol 129, Providence, RI 02903 | 2019-04-06 |
| 1083183743 | Alexa Siminsky | Dietitian, Registered | 593 Eddy Street, Providence, RI 02903-1888 | 2018-11-24 |
| 1134696396 | Danielle Mary White | Physician Assistant | 593 Eddy Street, Apc 4, Providence, RI 02903 | 2018-10-25 |
| 1669948659 | Meghan Keady | Nurse Practitioner | 593 Eddy Street, Providence, RI 02903 | 2018-10-17 |
| 1568943538 | Molly Meth | Psychologist | 593 Eddy Street, Potter 1, Providence, RI 02903 | 2018-08-27 |
| 1437639168 | Priscilla D Ventura-medeiros | Nurse Practitioner | 593 Eddy Street, Jane Brown, 2 South, Providence, RI 02903-4923 | 2018-08-21 |
| 1427537604 | David Allen Gardner Jr. | Nurse Practitioner | 593 Eddy Street, Apc Main, Providence, RI 02903 | 2018-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083065072 | Narendra Sharma Kala | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2016-06-30 |
| 1407088826 | Shadi Yaghi | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2009-08-18 |
| 1689818809 | Ali Saad | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2009-05-01 |
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on DR. BRIAN CORMAC MAC GRORY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.