Bray, Darren Dale
Bray, Darren Dale is an individual health care provider with primary practice located at 8600 Nicollet Ave S , Bloomington MN 55420-2824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bray, Darren Dale can be contacted via phone (952) 541-2800.Contact Information
Primary practice address
8600 Nicollet Ave S
Bloomington MN 55420-2824
Phone: (952) 541-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 50611 | Minnesota |
Profile Details
| NPI number | 1023046828 |
|---|---|
| LBN Legal business name | Bray, Darren Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jan 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023046828 | NPPES |
| Minnesota | MEDICAID | 1023046828 | |
| Minnesota | MEDICAID | 1851337356 |
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