IndividualActive
Brian Mac Grory, M.D.
NPI 1073875951 · Vascular Neurology Physician · Providence, RI
Provider details
- NPI number
- 1073875951
- Entity type
- Individual
- Primary specialty
- Vascular Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD15639 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
593 Eddy Street
Apc 5
Providence, RI 02903
Phone: (401) 444-6440
Fax: (401) 444-6858
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Registry dates
- Enumerated
- 2012-06-15
- Last updated
- 2019-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.