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

Dr. Bruce John Grattan Jr., DO, MS, RD

Individual provider Emergency Medicine Physician · NPI 1265096911

Dr. Bruce John Grattan Jr., DO, MS, RD is an Emergency Medicine in Gouverneur, New York. Qualified in 2019, 7 years ago. Practices with Canton-Potsdam Hospital, a 239-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York and Ohio.

Years since qualifying
7
Licensed in
NY, OH
In the registry since
2019
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Partly verified

Some contact details are missing from the federal record.

Gouverneur Hospital 77 West Barney St
Gouverneur, NY 13642-1040
Phone: (315) 287-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • River Hosptial, Alexandria Bay, NY 13607 — (315) 482-2511
  • Alice Hyde Medical Center, Malone, NY 12953 — (518) 483-3000
  • Massena Hospital, Massena, NY 13662 — (315) 769-4200
  • Canton Potsdam Hospital, Potsdam, NY 13676-1786 — (860) 933-1339

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 316792 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 34.015003 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265096911
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MS , RD
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESMay 8, 2023
Certification dateApril 27, 2023
Mailing address125 Brickhill Ave Unit 346, South Portland, ME 04106-2188

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Canton-Potsdam Hospital — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gouverneur