BRUCE MARK GROSSMAN (NPI# 1851359731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851359731 |
| Entity Type | Individual |
| Full Name | BRUCE MARK GROSSMAN |
| Credential | MD |
| Practice Address |
3450 11th Court Suite 206 Vero Beach FL 32960-5012 |
| Mailing Address |
1000 36th St Vero Beach FL 32960-4862 |
| Practice Telephone | 7722993511 |
| Practice Fax Number | 7722993517 |
| Mailing Telephone | 7722993511 |
| Mailing Fax Number | 7722993517 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
45365 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
53017 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 049666900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265594329 | Bruce M Grossman | Social Worker | 6 Hyson Way, Coram, NY 11727-1833 | 2006-12-15 |
| 1104987379 | Bruce David Grossman | Psychologist | 220 Madison Avenue Apt 2c, New York, NY 10016 | 2006-12-12 |
| 1588674857 | Bruce Grossman | Counselor | 631 Kit Carson Rd, Taos, NM 87571-6452 | 2006-08-09 |
| 1306844337 | Bruce Harvey Grossman | Chiropractor | 1001 Raritan Ave, Highland Park, NJ 08904-3667 | 2005-07-13 |
| 1982668158 | Bruce Glenn Grossman | Specialist | 1000 Grand Canyon Pkwy, Suite 301, Hoffman Estates, IL 60169-1705 | 2006-04-14 |
| 1720057409 | Bruce J. Grossman | Pediatrics | 1945 Route 33, Neptune, NJ 07753-4859 | 2006-03-16 |
| Street Address |
3450 11TH COURT SUITE 206 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518521251 | Mallory Anne Weatherly | Nurse Practitioner | 3450 11th Court, Suite 206, Vero Beach, FL 32960 | 2019-04-29 |
| 1205370327 | Indian River Health Services Inc | Internal Medicine | 3450 11th Court, Suite 104b, Vero Beach, FL 32960-4862 | 2016-12-08 |
| 1104378363 | Indian River Health Services Inc | Psychiatry & Neurology | 3450 11th Court, Suite 301b, Vero Beach, FL 32960-4862 | 2016-11-03 |
| 1275975237 | Jesse Lee Mace | Nurse Practitioner | 3450 11th Court, Suite 104, Vero Beach, FL 32960 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164680641 | Ashley Lauren Canipe | Internal Medicine | 3745 11th Cir Ste 101, Vero Beach, FL 32960-4838 | 2008-05-30 |
| 1922102292 | William J Mccormack | Internal Medicine | 275 18th Street, Suite 103, Vero Beach, FL 32960-0824 | 2006-09-08 |
| 1033167663 | Joseph John Zerega | Internal Medicine | 3745 11th Cir, Suite 101, Vero Beach, FL 32960-4837 | 2006-05-05 |
| 1528311677 | Indian River Health Services Inc | Internal Medicine | 3745 11th Cir, Suite 101, Vero Beach, FL 32960-4837 | 2012-10-25 |
| 1255577953 | William J Mccormack Md Pa | Internal Medicine | 275 18th St, Suite 103, Vero Beach, FL 32960-0824 | 2008-12-30 |
| 1962669192 | Alec Yen Nien Lui | Internal Medicine | 275 18th St, Suite 102, Vero Beach, FL 32960 | 2008-05-16 |
| 1871671727 | Alec Yen Nien Lui | Internal Medicine | 275 18th St, Suite 102, Vero Beach, FL 32960 | 2006-11-01 |
| 1831113208 | Vero Gastroenterology LLC | Internal Medicine | 3745 11th Cir, Suite 101, Vero Beach, FL 32960-4837 | 2006-07-27 |
| 1346277613 | Gregory Davis Mackay | Internal Medicine | 3745 11th Cir, Suite 101, Vero Beach, FL 32960-4837 | 2006-06-26 |
| 1255367660 | Charles Eugene Eberhart | Internal Medicine | 3745 11th Cir, Suite 101, Vero Beach, FL 32960-4837 | 2006-06-25 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
Please comment or provide details below to improve the information on BRUCE MARK GROSSMAN.
| 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.