# ANDREW ROBERT GRUDZINSKI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285602151
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 20748 | NV | Yes |
| 208800000X | Urology Physician | 21055 | SC | — |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 02/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000206911 | UNISON HEALTH PLAN | SC |
| 01 | — | 2280313 | CIGNA MEDICARE | NC |
| 01 | — | 5580793 | AETNA | SC |
| 05 | — | 5907458 | — | NC |
| 01 | — | 771828 | WELLCARE | SC |
| 01 | — | 790598L | EDS | NC |
| 01 | — | 80023030 | SELECT HEALTH | SC |
| 01 | — | 8522204 | CIGNA | SC |
| 05 | — | GP1521 | — | SC |
| 05 | — | GP4522 | — | SC |
| 01 | — | P00360558 | RAILROAD MEDICARE | SC |
| 05 | — | T50860 | — | SC |