Mr. Brian J Grace, PMHNP-BC, MBA, RN
Nurse Practitioner, Psych/Mental Health in Medford, Massachusetts
1144952094- Practice location
- 10 Cabot RD Ste 201, Medford, MA 02155-5173
- Phone
- 800-915-3211
- Fax
- —
- Last updated
- June 29, 2022
Brian John Grace is a Nurse Practitioner, Psych/Mental Health based in Medford, MA. Brian John Grace practices in Medford, MA and has the professional credentials of PMHNP-BC, MBA, RN. The NPI Number for Brian John Grace is 1144952094 and holds a License No. 2022010797 (MA). The current practice location address for Brian John Grace is 10 Cabot RD Ste 201, Medford, MA 02155-5173 and can be reached out via phone at 800-915-3211.
Provider Profile Details
- NPI Number
- 1144952094
- Provider Name
- Brian John Grace
- Credential
- PMHNP-BC, MBA, RN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 Cabot RD Ste 201, Medford, MA 02155-5173
- Phone Number
- 800-915-3211
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 29, 2022
- Last Update Date
- June 29, 2022
- Certification Date
- June 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Cabot RD Ste 201
Medford, MA 02155-5173 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5173
- Phone Number
- 800-915-3211
Provider Business Mailing Address Details
- Address
- 10 Cabot RD Ste 201
Medford, MA 02155-5173 - City
- Medford
- State
- MA
- Zip
- 02155-5173
- Phone Number
- 800-915-3211
License Information
- License Number
- 2022010797
- License State
- MA
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Brian J Grace, PMHNP-BC, MBA, RN?
The NPI number of Mr. Brian J Grace, PMHNP-BC, MBA, RN is 1144952094. It was assigned on June 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Brian J Grace, PMHNP-BC, MBA, RN?
Mr. Brian J Grace, PMHNP-BC, MBA, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 2022010797.
Where does Mr. Brian J Grace, PMHNP-BC, MBA, RN practice?
The practice location is 10 Cabot RD Ste 201, Medford, MA 02155-5173. The office can be reached at 800-915-3211 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144952094 directly on the NPPES registry website.