Bruce Mark Grossman
Internal Medicine (Gastroenterology)

Address: 3450 11th Court, Suite 206, Vero Beach, FL 32960-5012
Phone: 7722993511

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).

Provider Overview

Nation Provider Identifier (NPI) 1851359731
Entity Type Individual
Full Name Bruce Mark Grossman
Credential MD
Gender Male
Practice Address 3450 11th Court
Suite 206
Vero Beach
FL 32960-5012
Practice Telephone 7722993511
Practice Fax Number 7722993517
Mailing Address 1000 36th St
Vero Beach
FL 32960-4862
Mailing Telephone 7722993511
Mailing Fax Number 7722993517
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-05-02
Last Update Date 2016-11-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RG0100X Internal Medicine · Gastroenterology Allopathic & Osteopathic Physicians 53017 FL
No 207RG0100X Internal Medicine · Gastroenterology Allopathic & Osteopathic Physicians 45365 CO

Other Provider Identifier

State Identifier Issuer Type Code
FL 049666900 MEDICAID

Other Providers BRUCE GROSSMAN

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

Physician Overview

NPI 1851359731
PAC ID by PECOS 7810067824
Professional Enrollment ID I20080603000429
Full Name Bruce M Grossman
Organization Legal Name INDIAN RIVER HEALTH SVCS INC
Phone Number 7725674311
Gender M
Graduation Year 1981
Primary Specialty GASTROENTEROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 9234130329
Number of Group Practice Members 122
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100105 INDIAN RIVER MEMORIAL HOSPITAL INC

Office Location

Street Address 3450 11TH COURT
SUITE 206
City VERO BEACH
State FL
Zip Code 32960-5012

Providers in the same location

NPI Name Taxonomy Address Enumeration
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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819157 Toya Ann Alder Nurse Practitioner 3745 11th Cir Ste 105, Vero Beach, FL 32960 2018-08-02
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
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 Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City VERO BEACH
Zip Code 32960

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Dataset Information

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.

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