Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY P GRANT, M.D.
ActiveDR. BRADLEY P GRANT, M.D. is a Dermatology healthcare provider located in WEST MELBOURNE, Florida. NPI 1528066073 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WEST MELBOURNE, FL
Registration Details
- NPI Number
- 1528066073
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (21.139971093168 yrs)
- Last Updated
- Jun 6, 2008
- Licenses
-
ME80040 (FL)ME80040 (FL)ME80040 (FL)
Practice Information
- Address
-
1480 S WICKHAM RDWEST MELBOURNE, FL, 329042447Browse FL providers · Browse ZIP 32904
- Phone
- 3217242188
- Fax
- 3217242833
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.