| Bradford Clayton Gray, MD | |
|
19 Friendship St Bldg Suite240, Newport, RI 02840-2272 | |
| (401) 619-3930 | |
| (401) 845-1075 |
| Full Name | Bradford Clayton Gray |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 19 Friendship St Bldg Suite240, Newport, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003896986 | NPI | - | NPPES |
| J22582 | Other | MA | BLUE SHIELD |
| 0101991 | Medicaid | MA | |
| 205717 | Other | MA | CONNECTICARE |
| 1003896986 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD14900 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Visiting Nurse Home And Hospice | Portsmouth, RI | Home health agency |
| Newport Hospital | Newport, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Surgical Associates, Inc. | 4082503032 | 103 |
| Entity Name | University Surgical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376589895 PECOS PAC ID: 4082503032 Enrollment ID: O20040818001275 |
| Entity Name | Rhode Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154537520 PECOS PAC ID: 8921900044 Enrollment ID: O20141017000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Clayton Gray, MD Po Box 16149, Rumford, RI 02916-0697 Ph: (401) 453-9625 | Bradford Clayton Gray, MD 19 Friendship St Bldg Suite240, Newport, RI 02840-2272 Ph: (401) 619-3930 |
Dr. Nicholas Paxson Gabinet, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Friendship St Unit 240, Newport, RI 02840 Phone: 401-619-3930 Fax: 401-619-3932 | |
Julia Stockman Tassinari, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Friendship St Bldg Suite240, Newport, RI 02840 Phone: 401-619-3930 Fax: 401-619-3932 | |
James Daniel Valente, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Friendship St Bldg Suite240, Newport, RI 02840 Phone: 401-619-3930 Fax: 401-619-3932 | |
Dr. Jordan F Hebert, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 19 Friendship St Unit 240, Newport, RI 02840 Phone: 401-619-3930 Fax: 401-619-3932 | |
Orest Zaklynsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 220 Bellevue Ave, Newport, RI 02840 Phone: 401-849-1113 Fax: 401-849-0410 |