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Contact Information

BRIAN W GRANTHAM, M.D.
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO65473-9098
 Phone: 573-596-0456
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospitalist

208M00000X
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for BRIAN W GRANTHAM · (Male)

NPI Number 1437356326
Status Active
Credentials M.D.
Entity Individual
Enumeration date 07/02/2007
Last updated 05/11/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • AR License # E998
  • MO License # 2017026692
Hospital affiliation(s)
  • BATES COUNTY MEMORIAL HOSPITAL - (Acute Care)
    615 W NURSERY ST
    BUTLER, MO 64730
  • MERCY HOSPITAL LEBANON - (Acute Care)
    100 HOSPITAL DRIVE
    LEBANON, MO 65536
  • MERCY HOSPITAL SPRINGFIELD - (Acute Care)
    1235 E CHEROKEE
    SPRINGFIELD, MO 65804
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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