Ray, James Bradley

Ray, James Bradley is an individual health care provider with primary practice located at 405 Bmh Physicians Office Bldg , Maryville TN 37804-5807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ray, James Bradley can be contacted via phone (865) 238-6430.

Contact Information

Primary practice address
405 Bmh Physicians Office Bldg Maryville TN 37804-5807
Phone: (865) 238-6430
Fax: (865) 238-6444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD053882 Tennessee

Profile Details

NPI number 1871590943
LBN Legal business name Ray, James Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jun 7th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871590943 NPPES
Tennessee MEDICAID Q020467

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