GRAHAM WELLNESS MEDICAL, P.C.
NPI 1386941300
Family Medicine in Brooklyn, NY

Active since February 28, 2011
104 GRAHAM AVE, BROOKLYN, NY 11206(718) 218-6616(718) 218-6634 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Graham Wellness Medical, P.c. NPPES

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

GRAHAM WELLNESS MEDICAL, P.C. (NPI 1386941300) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since February 2011. The organization lists Gordon Charles Davis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1386941300
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAHAM WELLNESS MEDICAL, P.C.
Location Address104 GRAHAM AVEBrooklyn, NY 11206-3320
Mailing Address104 Graham AveBrooklyn, NY 11206-3320 · (718) 218-6616 · Fax (718) 218-6634
Fax(718) 218-6634
Organization SubpartNo
Authorized OfficialGordon Charles DavisMedical Director · (718) 566-0022
Enumeration DateFebruary 28, 2011
NPI 1386941300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 171745
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
104 GRAHAM AVE, Brooklyn, NY 11206

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Graham Wellness Medical, P.C.'s NPI number?

The NPI number for Graham Wellness Medical, P.C. is 1386941300. It was assigned to this organization in the NPPES registry on February 28, 2011.

Where is Graham Wellness Medical, P.C. located?

Graham Wellness Medical, P.C. is located at 104 Graham Ave, Brooklyn, NY 11206. The listed phone number is (718) 218-6616.

What is Graham Wellness Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Graham Wellness Medical, P.C. was last updated on February 28, 2011. 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.