Dr. Bruce J Grattan Jr., DO, MS, RD
Emergency Medicine in Gouverneur, New York
1265096911- Practice location
- Gouverneur Hospital, 77 West Barney Street, Gouverneur, NY 13642-1040
- Phone
- 315-287-1000
- Fax
- —
- Last updated
- May 8, 2023
Bruce John Grattan is an Emergency Medicine based in Gouverneur, NY. Bruce John Grattan practices in Gouverneur, NY and has the professional credentials of DO, MS, RD. The NPI Number for Bruce John Grattan is 1265096911 and holds a License No. 34.015003 (OH). The current practice location address for Bruce John Grattan is Gouverneur Hospital, 77 West Barney Street, Gouverneur, NY 13642-1040 and can be reached out via phone at 315-287-1000.
Provider Profile Details
- NPI Number
- 1265096911
- Provider Name
- Bruce John Grattan
- Credential
- DO, MS, RD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Gouverneur Hospital, 77 West Barney Street, Gouverneur, NY 13642-1040
- Phone Number
- 315-287-1000
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 29, 2019
- Last Update Date
- May 8, 2023
- Certification Date
- April 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Gouverneur Hospital
77 West Barney Street
Gouverneur, NY 13642-1040 - City
- Gouverneur
- State
- New York
- Zip
- 13642-1040
- Phone Number
- 315-287-1000
Provider Business Mailing Address Details
- Address
- 125 Brickhill Ave Unit 346
South Portland, ME 04106-2188 - City
- South Portland
- State
- ME
- Zip
- 04106-2188
- Phone Number
- 860-933-1339
License Information
- License Number (1)
- 34.015003
- License State (1)
- OH
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 316792
- License State (3)
- NY
- Taxonomy (3)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine providers near Gouverneur, NY
View all Emergency Medicine providers in Gouverneur →Frequently Asked Questions
What is the NPI number of Dr. Bruce J Grattan Jr., DO, MS, RD?
The NPI number of Dr. Bruce J Grattan Jr., DO, MS, RD is 1265096911. It was assigned on April 29, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Bruce J Grattan Jr., DO, MS, RD?
Dr. Bruce J Grattan Jr., DO, MS, RD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in OH under license number 34.015003.
Where does Dr. Bruce J Grattan Jr., DO, MS, RD practice?
The practice location is Gouverneur Hospital, 77 West Barney Street, Gouverneur, NY 13642-1040. The office can be reached at 315-287-1000 (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 1265096911 directly on the NPPES registry website.