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IndividualActiveTelehealthMedicare EnrolledCan Order/Refer

Mr. Bruce Grissom Jr.

Family Medicine

NPI: 1720513617Purvis, Mississippi, 39475(601) 794-8065Male

About Mr. Bruce Grissom Jr.

Mr. Bruce Grissom Jr. is a male healthcare professional specializing in Family Medicine, registered under National Provider Identifier (NPI) number 1720513617. Mr. Bruce Grissom Jr. received his medical education at WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE, graduating in 2017.

Their primary practice is located at 102 SHELBY SPEIGHTS DR, Purvis, Mississippi 39475. Patients can reach the office at (601) 794-8065. Mr. Bruce Grissom Jr. is affiliated with 2 hospitals in the area.

Mr. Bruce Grissom Jr. is enrolled in Medicare and accepts Medicare patients, offers telehealth services for remote virtual consultations, is authorized to order and refer Medicare services. Mr. Bruce Grissom Jr. has been NPI-registered since 2017.

Key Metrics

Rx Claims

10,522

$789,801.12

Opioid Rate

5.0%

Practice Locations

1

Affiliated Hospitals

2

Doctor Details

Identity & Credentials

NPI Number
1720513617
Entity Type
Individual
First Name
Bruce
Last Name
Grissom
Gender
Male
Medical School
WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year
2017
Sole Proprietor
No
Status
active

Primary Practice Location

Address
102 SHELBY SPEIGHTS DR
City
Purvis
State
Mississippi
ZIP
39475-4151
Country
United States
Phone
(601) 794-8065
Fax
(601) 794-5650

Specialty & Taxonomy

Primary Specialty
Family Medicine
Classification
Family Medicine
Taxonomy Code
207Q00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
415 S 28TH AVE
City
HATTIESBURG
State
MS
ZIP
394017246

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
Yes
Excluded
No

Frequently Asked Questions

What is Mr. Bruce Grissom Jr.'s NPI number?
Mr. Bruce Grissom Jr.'s National Provider Identifier (NPI) is 1720513617. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Bruce Grissom Jr. specialize in?
Mr. Bruce Grissom Jr. specializes in Family Medicine. They received their medical education at WILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE (class of 2017).
Where is Mr. Bruce Grissom Jr. located?
Mr. Bruce Grissom Jr. practices at 102 SHELBY SPEIGHTS DR, Purvis, Mississippi 39475. You can reach them by phone at (601) 794-8065.
Does Mr. Bruce Grissom Jr. accept Medicare?
Yes, Mr. Bruce Grissom Jr. is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Mr. Bruce Grissom Jr. offer telehealth or virtual visits?
Yes, Mr. Bruce Grissom Jr. offers telehealth services, which means you can schedule virtual consultations or appointments remotely via video or phone.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Bruce Grissom Jr. is 1720513617.