What is Brent Graceffa's NPI number?

Brent Graceffa's National Provider Identifier (NPI) is 1306255641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Brent Graceffa's specialty?

Brent Graceffa is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).

Where is Brent Graceffa located?

Brent Graceffa's practice location on file with NPPES is 107 Strawbridge Dr, Rockton, IL 61072-2957.

What is Brent Graceffa's phone number?

The practice phone number listed in the NPPES registry for Brent Graceffa is (760) 212-1995.

Is Brent Graceffa's NPI active?

Yes — Brent Graceffa's NPI (1306255641) is active in the NPPES registry as of the last update on 2014-08-12.

IndividualActive

Brent Graceffa, IDC

NPI 1306255641 · Independent Duty Corpsman · Rockton, IL

Brent Graceffa, IDC is a Independent Duty Corpsman provider in Rockton, IL (NPI 1306255641).

Provider details

NPI number: 1306255641
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Profile Score

Established profile(69/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

107 Strawbridge Dr

Rockton, IL 61072-2957

Phone: (760) 212-1995

Street-level locationGet directions

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Mailing address