Grant Michael Imbrock

MD | Pediatric Emergency Medicine | Male

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Complete Profile:

Grant Michael Imbrock basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Grant Michael Imbrock
Credential :	MD
Gender :	Male

Business Address:

Grant Michael Imbrock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1600 7th Ave S Birmingham, AL, 35233-1711 United States
Phone Number :	205-638-9587

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1841752946
NPI Entity Type :	Individual
First Enrolment Date :	05 Apr, 2019
Last Updated On :	02 Aug, 2022

Medicare Participation:

Grant Michael Imbrock participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8820468341
Medicare Enrollment ID :	I20221228000089
Primary Specialty :	Emergency Medicine
Medical School :	Texas A & M University System, Hsc, College Of Medicine
Graduation Year :	2019
Accepts Medicare?	Yes. Grant Michael Imbrock accepts medicare insurance.

Group Practice Association:

Grant Michael Imbrock is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Grant Michael Imbrock is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Alabama Health Services Foundation, Pc	1951213107	2171	1600 7th Ave S Birmingham, AL - 352331711 Ph: 2059759925	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grant Michael Imbrock are as mentioned. Primary taxonomy code for Grant Michael Imbrock, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD.41801	AL
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	MD.41801	AL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1600 7th Ave S Birmingham, AL, 35233-1711 United States
Phone Number :	205-638-9587

Business Location:

Patients can refer following map for directions to Grant Michael Imbrock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.