Gray, Bruce Harvey
Gray, Bruce Harvey is an individual health care provider with primary practice located at 200 Patewood Dr Suite C300, Greenville SC 29615-3557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gray, Bruce Harvey can be contacted via phone (864) 454-8272.Contact Information
Primary practice address
200 Patewood Dr Suite C300
Greenville SC 29615-3557
Phone: (864) 454-8272
Fax: (864) 454-2875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 606 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0606 | South Carolina |
Profile Details
| NPI number | 1023066495 |
|---|---|
| LBN Legal business name | Gray, Bruce Harvey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 1st, 2021 - about 4 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 | 1023066495 | NPPES |
| South Carolina | Other | 4466189 | AETNA |
| South Carolina | MEDICAID | T00237 | AETNA |
| South Carolina | Other | 110218125 | AETNA |
| South Carolina | Other | 576007863093 | AETNA |
| South Carolina | Other | 576007863071 | AETNA |
| South Carolina | Other | 1864198 | AETNA |
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