MR. BRUCE GRISSOM JR.
NPI 1720513617
Family Medicine in Purvis, MS

Active since April 27, 2017PECOS EnrolledAccepts Medicare Assignment
102 SHELBY SPEIGHTS DR, PURVIS, MS 39475(601) 794-8065(601) 794-5650 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2020, Apr 27, 2017 (2 updates tracked since 2017).

About Mr. Bruce Grissom Jr. NPPES

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

MR. BRUCE GRISSOM JR. (NPI 1720513617) is an individual family medicine provider in Purvis, Mississippi, licensed in Mississippi (27862) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of William Carey University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1720513617
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. BRUCE GRISSOM JR.
Location Address102 SHELBY SPEIGHTS DRPurvis, MS 39475-4151
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 794-8065 · Fax (601) 579-5240
Fax(601) 794-5650
Sole ProprietorNo
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 27, 2017
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
NPI 1720513617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 27862
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.
102 SHELBY SPEIGHTS DR, Purvis, MS 39475

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Bruce Grissom Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496170987
PECOS Enrollment IDI20200730002968
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.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
495 services168 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
328 services33 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
210 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
177 services122 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
140 services140 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
129 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39475 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims67 services$6.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims23 services$1.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers24 claims24 services$91.36 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers16 claims960 services$0.83 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$21.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers18 claims18 services$200.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
102 SHELBY SPEIGHTS DR
PURVIS, MS 39475
Family Medicine
102 SHELBY SPEIGHTS DR
PURVIS, MS 39475
Family Medicine
102 SHELBY SPEIGHTS DR
PURVIS, MS 39475
Family Medicine
102 SHELBY SPEIGHTS DR
PURVIS, MS 39475
Family Medicine
102 SHELBY SPEIGHTS DR
PURVIS, MS 39475
Nurse Practitioner (Family)
102 SHELBY SPEIGHTS DR
PURVIS, MS 39475

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 Bruce Grissom's NPI number?

The NPI number for Bruce Grissom is 1720513617. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Bruce Grissom located?

Bruce Grissom practices at 102 Shelby Speights Dr, Purvis, MS 39475. The listed phone number is (601) 794-8065.

What is Bruce Grissom's specialty?

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

Is Bruce Grissom enrolled in Medicare?

Yes. Bruce Grissom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bruce Grissom accept?

Health plans from Molina Healthcare and UnitedHealthcare list Bruce Grissom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Grissom was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.