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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023046828 NPPES
Minnesota MEDICAID 1023046828
Minnesota MEDICAID 1851337356

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