BRIAN GERAGHTY DO
NPI 1407475049
Pediatrics - Pediatric Critical Care Medicine in Grand Rapids, MI

Active since April 14, 2020PECOS Enrolled
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-9000 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Jul 10, 2024, May 30, 2023 and 1 more (4 updates tracked since 2020).

About Brian Geraghty Do NPPES

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

BRIAN GERAGHTY DO (NPI 1407475049) is an individual pediatric critical care medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101028031) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407475049
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameBRIAN GERAGHTYCredential: DO
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing AddressPo Box 744785Atlanta, GA 30374-4785
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateJune 6, 20254 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1407475049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in MI · 5101028031
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brian Geraghty Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

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 Brian Geraghty's NPI number?

The NPI number for Brian Geraghty is 1407475049. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Brian Geraghty located?

Brian Geraghty practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-9000.

What is Brian Geraghty's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Brian Geraghty enrolled in Medicare?

Yes. Brian Geraghty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Geraghty was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.