GRANT EDLAND
NPI 1245869858
Allergy & Immunology - Allergy in Watford City, ND

Active since April 06, 2020PECOS Enrolled
709 4TH AVE NE, WATFORD CITY, ND 58854(701) 842-3000(701) 842-6248 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Jun 11, 2023, May 5, 2020 and 2 more (5 updates tracked since 2020).

About Grant Edland NPPES

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

GRANT EDLAND (NPI 1245869858) is an individual allergy provider in Watford City, North Dakota, licensed in Illinois (036.165111) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Mckenzie County Healthcare Systems Inc, and is a graduate of University Of North Dakota School Of Medicine (2020).

NPPES Registry Identity

NPI1245869858
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameGRANT EDLAND
Location Address709 4TH AVE NEWatford City, ND 58854-7628
Mailing Address709 4th Ave NeWatford City, ND 58854-7628 · (701) 842-3000 · Fax (701) 842-6248
Fax(701) 842-6248
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateApril 28, 20265 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1245869858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in IL · 036.165111
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
709 4TH AVE NE, Watford City, ND 58854

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grant Edland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557710944
PECOS Enrollment IDI20260224003149
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351302
Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
709 4TH AVE NE
WATFORD CITY, ND 58854
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
Non-Pharmacy Dispensing Site
709 4TH AVE NE
WATFORD CITY, ND 58854
Pediatrics
709 4TH AVE NE
WATFORD CITY, ND 58854
Pain Medicine (Interventional Pain Medicine)
709 4TH AVE NE, PAIN MANAGEMENT CLINIC
WATFORD CITY, ND 58854
General Practice
709 4TH AVE NE
WATFORD CITY, ND 58854
Case Manager/Care Coordinator
709 4TH AVE NE
WATFORD CITY, ND 58854

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 Grant Edland's NPI number?

The NPI number for Grant Edland is 1245869858. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Grant Edland located?

Grant Edland practices at 709 4th Ave NE, Watford City, ND 58854. The listed phone number is (701) 842-3000.

What is Grant Edland's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Grant Edland enrolled in Medicare?

Yes. Grant Edland is registered in the Medicare PECOS enrollment system.

Is Grant Edland affiliated with any hospitals?

According to CMS data, Grant Edland is affiliated with Mckenzie County Healthcare Systems Inc.

When was this NPI record last updated?

The NPPES record for Grant Edland was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.