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

Dr. Brian W Grantham, MD

Individual provider Family Medicine Physician · NPI 1437356326

Dr. Brian W Grantham, MD is a Family Medicine Physician in Fort Leonard Wood, Missouri. Works from 2 locations. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2007
Specialties on file
8
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4234 Illinois Ave
Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-0456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 N Kentucky Ave, West Plains, MO 65775-2029 — (417) 256-9111

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence E998 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence E998 (AR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2017026692 (MO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence E998 (AR)
Sports Medicine (Preventive Medicine) Physician Taxonomy 2083S0010X · Licence E998 (AR)
Hospitalist Physician Taxonomy 208M00000X · Licence E998 (AR)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence E998 (AR)
General Practice Physician Taxonomy 208D00000X · Licence E998 (AR)

Record details

NPI number1437356326
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address4234 Illinois Ave, Fort Leonard Wood, MO 65473-9098

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