Bray, Timothy C
Bray, Timothy C is an individual health care provider with primary practice located at 933 Bradbury Dr Se Ste 2222 , Albuquerque NM 87106-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bray, Timothy C can be contacted via phone (505) 272-3303.Contact Information
Primary practice address
933 Bradbury Dr Se Ste 2222
Albuquerque NM 87106-4375
Phone: (505) 272-3303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H9496 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A-1953-16 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20A14225 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OP60460591 | Washington |
Profile Details
| NPI number | 1689643090 |
|---|---|
| LBN Legal business name | Bray, Timothy C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jun 28th, 2016 - about 8 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 | 1689643090 | NPPES |
| Texas | MEDICAID | 136789810 | |
| Texas | MEDICAID | 136789812 | |
| Texas | MEDICAID | 136789811 |
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