BRUCE BARRY GRILL MD
NPI 1649347584
Pediatrics - Pediatric Gastroenterology in Fontana, CA

Q: What is Bruce Grill's NPI number?

The NPI number for Bruce Grill is 1649347584. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Bruce Grill's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Grill was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 29, 2006PECOS Enrolled

9961 SIERRA AVE, FONTANA, CA 92335(909) 427-3910 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2025, Apr 17, 2024, Nov 22, 2021 (3 updates tracked since 2021).

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About Bruce Barry Grill Md NPPES

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

BRUCE BARRY GRILL MD (NPI 1649347584) is an individual pediatric gastroenterology provider in Fontana, California, licensed in California (G48011) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1649347584

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameBRUCE BARRY GRILLCredential: MD

Location Address9961 SIERRA AVEFontana, CA 92335-6720

Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-3910

Phone(909) 427-3910

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateApril 10, 20253 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1649347584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in CA · G48011

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License G48011 (CA), MD218930 (OR)

9961 SIERRA AVE, Fontana, CA 92335

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Secondary Practice Location 1

Location 11100 Van Ness Ave Fl 7San Francisco, CA 94109-6978 · Phone (844) 733-2762

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce Barry Grill Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Bruce Grill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group

Same address

Health Maintenance Organization

9961 SIERRA AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
Also billed through NPI 1952333460 (California)
5,228 clinicians in this Medicare group

NPI 1689606196 (909) 427-3910

Lpch Medical Group Div Of Lucile

353 mi

Children

725 WELCH RD
Palo Alto, CA 94304

Reassigned Medicare billing, California enrollment
3,617 clinicians in this Medicare group

NPI 1417907940 (650) 498-6762

Legacy Emanuel Hospital & Health Center

838 mi

General Acute Care Hospital

1225 NE 2ND AVE
Portland, OR 97232

Reassigned Medicare billing, Oregon enrollment
719 clinicians in this Medicare group

NPI 1003367491 (503) 944-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHEILA ANN VANALLEN PT

Physical Therapist

9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335

San Bernardino County (909) 427-7727

MR. JAMES DAVID KILLEEN III M.D.

Pediatrics

9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335

San Bernardino County (909) 427-6960

MR. DHIRESH N PATEL RPH

Pharmacist