Individual
MARK W GREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7400
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
231864
MA
207P00000X
Emergency Medicine Physician
MD12153
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007058639
MEDICARE PTAN
RI
01
—
1710908611
NPI
RI
05
—
7058639
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
07/23/2006
Last updated
06/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us