Bray, Gregory
Bray, Gregory is an sole proprietor health care provider with primary practice located at 1 Saint Elizabeth Blvd , O Fallon IL 62269-1099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bray, Gregory can be contacted via phone (618) 234-2120.Contact Information
Primary practice address
1 Saint Elizabeth Blvd
O Fallon IL 62269-1099
Phone: (618) 234-2120
Fax: (618) 541-5810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01046469A | Indiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036151250 | Illinois |
Profile Details
| NPI number | 1902836679 |
|---|---|
| LBN Legal business name | Bray, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jan 10th, 2022 - about 2 years ago |
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 | 1902836679 | NPPES |
| Indiana | Other | 000000598514 | ANTHEM |
| Indiana | MEDICAID | 200144250 | ANTHEM |
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