DR. ROBERT BRYAN GRAVELINE (NPI# 1336137306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336137306 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRYAN GRAVELINE |
| Credential | M.D. |
| Practice Address |
1215 Duff Ave Ames IA 50010-5400 |
| Practice Telephone | 5152394450 |
| Practice Fax Number | 5159564080 |
| Mailing Telephone | 5152394450 |
| Mailing Fax Number | 5159564080 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2012-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
29795 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0110460 | 05 |
| Street Address |
1215 DUFF AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437081 | Richard L. Glenn Jr. | Hospitalist | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-06-17 |
| 1194349258 | Jessica Marie Kruckenberg | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5400 | 2020-06-04 |
| 1235765884 | Stephanie Moellers | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2020-03-16 |
| 1902384118 | Nichole Leigh O'brien | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-07-31 |
| 1811480056 | Christopher M Albert | Pharmacist | 1215 Duff Ave, Ames, IA 50010-5400 | 2018-06-12 |
| 1891294823 | Chelsea Sue Wickman | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-02-05 |
| 1669929758 | Julianne Marie Rolfes | Physical Therapist | 1215 Duff Ave, Ames, IA 50010-5400 | 2016-09-06 |
| 1821471822 | Kara J. Johnson | Physician Assistant | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-07-08 |
| 1568842920 | Erica Rae Bright Henricks | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-06-01 |
| 1275943334 | Michael Stefl | Orthopaedic Surgery | 1215 Duff Ave, Ames, IA 50010-5469 | 2014-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285844142 | Jeremy Fields | Internal Medicine | 1215 Duff Avenue, Mcfarland Clinic. PC, Ames, IA 50010-3014 | 2007-05-22 |
| 1811042310 | Bryan John Feyen | Internal Medicine | 1215 Duff Avenue, Ames, IA 50010-3014 | 2007-01-24 |
| 1639168685 | Thomas Dale Johnson | Internal Medicine | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-10-20 |
| 1285622274 | Jon Lee Fleming | Internal Medicine | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538416052 | James W. Roat, M.d., P.C. | Internal Medicine | 2910 Hamilton Blvd Ste 103, Sioux City, IA 51104-2423 | 2012-08-14 |
| 1467743039 | Samyuktha Ramavaram | Internal Medicine | 4321 53rd Ave, Bettendorf, IA 52722-1269 | 2011-04-29 |
| 1639332745 | Bhavya Akhauri | Internal Medicine | 788 8th Avenue Se, Level 3, Cedar Rapids, IA 52401 | 2008-07-08 |
| 1124119185 | Songul Atay | Internal Medicine | 300 S Maple, Fairfield, IA 52556-3739 | 2006-09-27 |
| 1821022161 | Gastroenterology Associates PC | Internal Medicine | 2222 53rd Avenue, Bettendorf, IA 52753 | 2006-07-11 |
| 1275571747 | Iowa Digestive Disease Center P.C. | Internal Medicine | 1378 Nw 124th Street, Suite 200, Clive, IA 50325 | 2006-06-04 |
| 1437196045 | Gastroenterology Consultants PC | Internal Medicine | 801 Harmony St, Suite 201, Council Bluffs, IA 51503-3106 | 2006-06-01 |
| 1457331621 | James Roat | Internal Medicine | 2910 Hamilton Blvd, Ste 103, Sioux City, IA 51104-2423 | 2006-01-22 |
| 1275517658 | Dean A Abramson | Internal Medicine | 931 8th Ave Se, Cedar Rapids, IA 52401-2121 | 2005-11-30 |
| 1295717478 | Richard L Weyman Iv | Internal Medicine | 2222 53rd Ave, Bettendorf, IA 52722-7546 | 2005-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.