DR. JERRY WADE GRISE M.D.
NPI 1154621787
Radiology - Diagnostic Radiology in Columbia, MO

Q: What is Jerry Grise's NPI number?

The NPI number for Jerry Grise is 1154621787. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Q: What is Jerry Grise's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Grise was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 29, 2010

2405 SNOWBERRY CIR, COLUMBIA, MO 65201(573) 442-0003 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jerry Wade Grise M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY WADE GRISE M.D. (NPI 1154621787) is an individual diagnostic radiology provider in Columbia, Missouri, licensed in Tennessee (2933) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1154621787

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. JERRY WADE GRISECredential: M.D.

Location Address2405 SNOWBERRY CIRColumbia, MO 65201-3576

Mailing Address1661 International Place Drive, Suite 350Memphis, TN 38120 · (901) 685-2696

Phone(573) 442-0003

Sole ProprietorYes

Enumeration DateOctober 29, 2010

✔ NPI 1154621787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TN · 2933

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2405 SNOWBERRY CIR, Columbia, MO 65201

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Grise's NPI number?

The NPI number for Jerry Grise is 1154621787. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Jerry Grise located?

Jerry Grise practices at 2405 Snowberry Cir, Columbia, MO 65201. The listed phone number is (573) 442-0003.

What is Jerry Grise's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jerry Grise was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.