MEDICARE: BRET T GRIMES DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	083132	IA

General Provider Information

NPI Number	:	1295187250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRET T GRIMES DC

Provider Business Mailing Address
First Line	:	3456 HOLIDAY CT
Second Line	:
City	:	BETTENDORF
State	:	IA
Zip	:	52722-3551
Country	:	US
Telephone Number	:	563-332-7110
Fax Number	:	563-332-7234

Provider Business Practice Location Address
First Line	:	3456 HOLIDAY CT
Second Line	:
City	:	BETTENDORF
State	:	IA
Zip	:	52722-3551
Country	:	US
Telephone Number	:	563-332-7110
Fax Number	:	563-332-7234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2016
Last Update Date	:	04/28/2026

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Directions to “ BRET T GRIMES DC” Practice Location

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