Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE GRISSOM JR.
ActiveMR. BRUCE GRISSOM JR. is a Family Medicine healthcare provider located in PURVIS, Mississippi. NPI 1720513617 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PURVIS, MS
Registration Details
- NPI Number
- 1720513617
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2017 (9.2827658568091 yrs)
- Last Updated
- Aug 27, 2020
- License
-
27862 (MS)
Practice Information
- Address
-
102 SHELBY SPEIGHTS DRPURVIS, MS, 394754151Browse MS providers · Browse ZIP 39475
- Phone
- 6017948065
- Fax
- 6017945650
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PURVIS, MS
| Name | Credential | NPI |
|---|---|---|
| ROBERT WATSON | — | 1669413233 |
| JOHN T CHMELICEK | MD | 1669488490 |
| STEPHEN L HARLESS | MD | 1336151976 |
| MICHAEL R O'NEAL | MD | 1134234750 |
| JASON LEE SHIVES | MD | 1083942338 |
| CHRISTOPHER RYAN RAWLS | MD | 1114488095 |
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.