Doctor profile · Federal record
Dr. Charles Grannum, MD
Prosthodontist · Brooklyn, NY
- NPI 1205904208
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1536 Bedford Ave
Brooklyn, NY 112164117
(800) 376-5566 - Mailing address
-
Po Box 29889
New York, NY 100879889
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223P0700X — NUCC code
- State license (1)
- New York #040024
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205904208. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$47
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 1 | $46.99 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
36
Patients
14
Total drug cost
$194
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Generic | 36 | 14 | $194 |
Frequently asked questions
What is Dr. Charles Grannum's medical specialty?
Dr. Charles Grannum practices Prosthodontist in Brooklyn, NY.
Where does Dr. Charles Grannum practice?
Dr. Charles Grannum practices at 1536 Bedford Ave, Brooklyn, NY 112164117. Office phone: 8003765566.
What is Dr. Charles Grannum's NPI?
Dr. Charles Grannum's National Provider Identifier (NPI) is 1205904208, issued by NPPES.