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

Grant I Disick, MD

Individual provider Urology Physician · NPI 1639236797

Grant I Disick, MD is an Urology in Boca Raton, Florida. Graduated from Tufts University School of Medicine in 2001, 25 years ago. Practices with Genesiscare USA of Florida LLC, a 171-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
25
Trained at
Tufts University School of Medicine
Licensed in
FL
In the registry since
2007
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

9970 Central Park Blvd N Ste 207
Boca Raton, FL 33428-2231
Phone: (561) 487-5506
Fax: (561) 487-9261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME101748 (FL)

Record details

NPI number1639236797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 1, 2007
Last updated in NPPESMarch 16, 2017
Mailing address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Genesiscare Usa Of Florida Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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