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

Robert Wallace Graham, DO

Individual provider Emergency Medicine Physician · NPI 1629393160

Robert Wallace Graham, DO is an Emergency Medicine in Council Bluffs, Iowa. Qualified in 2010, 16 years ago. Practices with Emergency Physicians Integrated Care LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
16
Licensed in
IA
In the registry since
2010
Specialties on file
2
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.

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Practice location Address checks out

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone: (800) 875-0136
Fax: (937) 619-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4438 (IA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629393160
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2010
Last updated in NPPESJune 3, 2013
Mailing address4750 Hempstead Station Dr, Kettering, OH 45429-5164

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Emergency Physicians Integrated Care Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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