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Active NPI 1891830402 Individual Practitioner Male Practitioner

Bradley Wayne Grissom , NP

Nurse Practitioner • Danville, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Bradley Grissom, NP is a certified Nurse Practitioner practicing in Danville, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Bradley Grissom delivers high-quality medical care to the local community at 516 W MADISON ST.

Bradley Grissom maintains professional affiliations with Carle Health Care Incorporated, Hoopeston Community Memorial Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

516 W Madison St

Danville, IL 618325657

Telephone 2175541700
Fax 2175541704
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Danville, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +10.4 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
34 Specialists

Practicing in Danville, IL (4929 Statewide)

Telehealth Adoption Rate
8.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grissom (21 Years) 21 Yrs
Danville Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
212 133 $233.02 $79.10
99213 Established patient office or other outpatient visit, typically 15 minutes
104 75 $153.27 $54.09

Medical Specialties & State Licenses

CMS Verified: 2025-03-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209005691

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Hoopeston Community Memorial Hospital

701 E Orange St, Hoopeston, IL 609421801

Phone: 2172835531

Carle Health Care Incorporated

516 W Madison St, Danville, IL 618325657

Phone: 2174317902

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Malec Mokraoui , MD

Internal Medicine - Cardiovascular Disease

NPI 1215949656

Doctor of Medicine (M.D.)

NPI 1295835478

Doctor of Medicine (M.D.)

Selena Mccalla , APN

Nurse Practitioner - Family

NPI 1770071227

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 12, 2025

Registered at 516 W MADISON ST, DANVILLE, IL 618325657 (Tel: 2175541700)

NPI Profile Active December 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2010

Registered at 2300 N. VERMILION AVENUE, MEDICAL SUB-SPECIALTIES, DANVILLE, IL 61832 (Tel: 2175541700)

📍
Updated Business Mailing Address December 27, 2010

Registered at P.O. BOX 6002, URBANA, IL 618036002 (Tel: 2173268300)

👤
Provider Name / Credentials Updated December 27, 2010

Recorded as BRADLEY GRISSOM, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2010

Nurse Practitioner (License #209005691 in IL)

🟢
Initial NPI Registration & Enumeration February 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891830402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: March 12, 2025
Sole Proprietor: No

Mailing Address

P.o. Box 6002

Urbana, IL 618036002

Phone: 2173268300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.