DR. GRADY C STEWART MD NPI 1528036175

NPI Information

NPI: 1528036175
Provider Name: DR. GRADY C STEWART, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 399-5550
Get Directions

DR. Grady C Stewart, MD is a diagnostic radiology radiology in Jacksonville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Grady C Stewart, MD NPI is 1528036175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216-252
Phone: (904) 399-5550
Fax: (904) 346-4334

The enumeration date for this NPI number is 3/9/2006 and was last updated on 3/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	ME32520	FLORIDA	No
2	2085N0700X	Radiology	Neuroradiology	ME32520	FLORIDA	No
3	2085N0904X	Radiology	Nuclear Radiology	ME32520	FLORIDA	No
4	2085P0229X	Radiology	Pediatric Radiology	ME32520	FLORIDA	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	ME32520	FLORIDA	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	ME32520	FLORIDA	No
7	2085R0202X	Radiology	Diagnostic Radiology	ME32520	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D61772	MEDICARE UPIN	FLORIDA
2	00356298A	MEDICAID	GEORGIA
3	047723100	MEDICAID	FLORIDA
4	15449	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
5	300020461	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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