BRIAN LEE GRIMWOOD (DO) – Child & Adolescent Psychiatry Physician, NPI 1477565539

BRIAN LEE GRIMWOOD (DO) is a healthcare provider. based in Salt lake city, Utah. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 02004612A (IN). The NPI Number for BRIAN LEE GRIMWOOD (DO) is 1477565539

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN LEE GRIMWOOD (DO)
NPI
1477565539
Phone
(435) 688-4850
Address
PO BOX 27128
Enumeration Date
13 August 2006
Last Update Date
26 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356884850
Graduation Year
2012 (14 years ago)
PAC ID
6002825510
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20170508001862
Address ID
UT847703949ST320XX600X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

256 PSYCHIATRY in UT

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Provider Addresses for BRIAN LEE GRIMWOOD (DO)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (435) 688-4850

    Type: Mailing

  • 320, East 600 South, St. George, Washington County, Utah, 84770, United States

    ST GEORGE, UT 847703949

    Phone: (435) 688-4850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170508001862IPsychiatryUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850209420View full group profile

Reviews

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Frequently asked questions

Can I cross-check BRIAN LEE GRIMWOOD (DO) using NPI 1477565539?
NPI 1477565539 belongs to BRIAN LEE GRIMWOOD (DO); compare other details if you need extra assurance.
Would BRIAN LEE GRIMWOOD (DO) appear as active to a payer?
You can treat BRIAN LEE GRIMWOOD (DO) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to BRIAN LEE GRIMWOOD (DO)?
BRIAN LEE GRIMWOOD (DO)'s specialty line reads Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BRIAN LEE GRIMWOOD (DO)?
Directory geography for BRIAN LEE GRIMWOOD (DO) centers on Salt Lake City, Utah.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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