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Contact Information

BRIAN GROSS, MD
1801 E 54TH ST
STE 100
DAVENPORT, IA52807-7209
 Phone: 563-323-1229
 Fax: 563-323-8240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN GROSS · (Male)

NPI # 1740255348
Status Active
Credentials MD
Entity Individual
Enumeration date 02/17/2006
Last updated 04/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 33887
  • IL License # 036104197
  • IA Medicaid 0024253
  • IA Other 290013404 RAILROAD MEDICARE
  • IL Other 290013650 RAILROAD MEDICARE
Hospital affiliation(s)
  • GENESIS MEDICAL CENTER ILLINI CAMPUS - (Acute Care)
    801 ILLINI DRIVE
    SILVIS, IL 61282
  • GENESIS MEDICAL CENTER-DAVENPORT - (Acute Care)
    1227 EAST RUSHOLME STREET
    DAVENPORT, IA 52803
  • GENESIS MEDICAL CENTER-DEWITT - (Critical Access)
    1118 11TH STREET
    DEWITT, IA 52742
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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