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

Dr. Jerry Wade Grise, MD

Individual provider Diagnostic Radiology Physician · NPI 1154621787

Dr. Jerry Wade Grise, MD is a Diagnostic Radiology Physician in Columbia, Missouri. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2405 Snowberry Cir
Columbia, MO 65201-3576
Phone: (573) 442-0003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2933 (TN)

Record details

NPI number1154621787
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 29, 2010
Last updated in NPPESOctober 29, 2010

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