Individual provider · Type 1 NPI

Bruce John Grattan Jr., DO, MS, RD

Emergency Medicine Physician · Gouverneur, NY

NPI number 1265096911 Active

Practice location

Gouverneur Hospital, 77 West Barney Street
Gouverneur, NY 13642-1040

Mailing address

125 Brickhill Ave Unit 346
South Portland, ME 04106-2188

Other practice locations

  • Massena Hospital, 1 Hospital Drive, Massena, NY 13662 · (315) 769-4200
  • River Hosptial, 4 Fuller Street, Alexandria Bay, NY 13607 · (315) 482-2511
  • Alice Hyde Medical Center, 133 Park Street, Malone, NY 12953 · (518) 483-3000
  • Canton Potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676-1786 · (860) 933-1339

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X34.015003 (OH)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Emergency Medicine Physician Primary 207P00000X316792 (NY)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1265096911

Bruce John Grattan Jr., DO, MS, RD's National Provider Identifier is 1265096911, issued on Apr 29, 2019. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Gouverneur, NY. The record was last updated on May 8, 2023.