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Contact Information

ROBERT J GRONDEL, MD
98 POPLAR ST
BLACKFOOT, ID83221-1758
 Phone: 208-273-7700
 Fax: 702-565-8898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT J GRONDEL · (Male)

NPI Number 1124037650
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 10/28/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • ID License # M16347
  • NV Medicaid 002019572
  • NV Other 200030368 RAILROAD MEDICARE
Hospital affiliation(s)
  • BOULDER CITY HOSPITAL - (Critical Access)
    901 ADAMS BLVD
    BOULDER CITY, NV 89005
  • ST ROSE DOMINICAN HOSPITALS - SIENA CAMPUS - (Acute Care)
    3001 ST ROSE PARKWAY
    HENDERSON, NV 89052
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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