Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Wayne Grissom, NP

Individual provider Nurse Practitioner · NPI 1891830402

Bradley Wayne Grissom, NP is a Nurse Practitioner in Danville, Illinois. Qualified in 2005, 21 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

516 W Madison St
Danville, IL 61832-5657
Phone: (217) 554-1700
Fax: (217) 554-1704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209005691 (IL)

Record details

NPI number1891830402
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing addressP.O. Box 6002, Urbana, IL 61803-6002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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