NPI Details
DR. Bradley P Grant, M.D. is a dermatology in West Melbourne, FL with 30 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Bradley P Grant, M.D. NPI is 1528066073. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:1996
The provider's business location address is:
1480 S WICKHAM RD
WEST MELBOURNE, FL
ZIP 32904-447
Phone: (321) 724-2188
Fax: (321) 724-2833
The NPI 1528066073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 10D1042584 - physician office with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
- Punch biopsy, first skin growth (HCPCS:11104)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
- Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
- Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
- Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
- Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm (HCPCS:13151)
- Biopsy of ear (HCPCS:69100)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm (HCPCS:13131)
- Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
- Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11601)
- Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/8/2005 and was last updated on 6/6/2008.
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 | 207ND0101X | Dermatology | MOHS-Micrographic Surgery | ME80040 | FLORIDA | No |
| 2 | 207NS0135X | Dermatology | Procedural Dermatology | ME80040 | FLORIDA | No |
| 3 | 207N00000X | Dermatology | | ME80040 | 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 | G66653 | MEDICARE UPIN | FLORIDA | |
| 2 | CIGNA | OTHER | FLORIDA | 0560163 |
| 3 | 261442100 | MEDICAID | FLORIDA | |
| 4 | 51915 | OTHER | FLORIDA | BLUE SHIELD |
| 5 | 2120225050101 | OTHER | FLORIDA | BEECH STREET |
