MR. BRADLEE JEROME BRAY (NPI# 1972999431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972999431 |
| Entity Type | Individual |
| Full Name | MR. BRADLEE JEROME BRAY |
| Credential | MS, CNIM |
| Practice Address |
435 Barrel Dr Winterville NC 28590-9338 |
| Practice Telephone | 2524126373 |
| Mailing Telephone | 2524126373 |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2015-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
435 BARREL DR |
| City | WINTERVILLE |
| State | NC |
| Zip Code | 28590-9338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427666130 | Domika Dunn | Non-emergency Medical Transport (VAN) | 2634 Mill Street, #3, Winterville, NC 28590 | 2020-07-20 |
| 1417490194 | Sarah Blakely | Counselor | 367 Branchwood Drive, Winterville, NC 28590 | 2016-11-29 |
| 1740671817 | Faith Lewis Hardison | Social Worker | 173 A Emily Dr., Winterville, NC 28590 | 2015-02-11 |
| 1255740932 | Kendal Williams Strickland | Pharmacist | 4240 Nc Hwy 11 South, Winterville, NC 28590 | 2014-08-07 |
| 1396152757 | Patricia Ragin | Counselor | 1200 Freeland Lane, Unit K1, Winterville, NC 28590 | 2014-07-17 |
| 1780941104 | Triniti House of Restoration | Psychiatric Residential Treatment Facility | 485 Marlboro Drive, Winterville, NC 28590 | 2012-04-23 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1740595859 | Christina Neverte Sidrak | Pharmacist | 4211 Nc Highway 11 South, Winterville, NC 28590 | 2010-08-12 |
| 1902124993 | Dove United Counseling and Assessment Services | Counselor | 575 S. Square Drive, Apt 98, Winterville, NC 28590 | 2010-05-14 |
| 1841526407 | Kyle Dombach | Pharmacist | 4211 Winterville Parkway, Winterville, NC 28590 | 2009-11-02 |
| Find all providers in zip 28590 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427597558 | Christopher Scott Corella | Specialist/Technologist, Other | 152 Spring Valley Dr, Raeford, NC 28376-5822 | 2017-02-22 |
| 1407206121 | Choice Neurodiagnostics, LLC | Specialist/Technologist, Other | 176 Mine Lake Ct, Ste 100, Raleigh, NC 27615-6417 | 2016-06-14 |
| 1255754800 | End, Inc. | Specialist/Technologist, Other | 2808 Ferrand Dr, Durham, NC 27705-1742 | 2014-01-31 |
| 1205179207 | Richard Bruce Hewett | Specialist/Technologist, Other | 609 Edgewater Dr, Belmont, NC 28012-9759 | 2013-03-28 |
| 1295390557 | Prime Nc Health, LLC | Specialist/Technologist, Other | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2019-05-02 |
| 1730551318 | Hillary Raker | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2015-10-22 |
| 1043612096 | William Simmons | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-09-22 |
| 1962803866 | David Schneider | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-09-10 |
| 1184032286 | Kristin Eccleton | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-08-01 |
| 1023449980 | Creighton Brad Edwards | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2013-12-03 |
| Find all providers with the same taxonomy | ||||
| City | WINTERVILLE |
| Zip Code | 28590 |
Please comment or provide details below to improve the information on MR. BRADLEE JEROME BRAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.