Bryan Joseph Gray, BSN, RN is a
Allergy & Immunology based in Jefferson City, Missouri. Bryan Joseph Gray is licensed to practice in Missouri (license number 2015024072) and his current practice location is
1241 W Stadium Blvd, Jefferson City, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 635-5264.
NPI number for Bryan Joseph Gray is 1518698067 and his current mailing address is 1241 W Stadium Blvd, Jefferson City, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518698067.
Provider's Profile
| Full Name | Bryan Joseph Gray |
|---|
| Gender | Male |
|---|
| Speciality | Allergy & Immunology |
|---|
| Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518698067
- Provider Enumeration Date: 06/23/2022
- Last Update Date: 01/02/2025
Medical Identifiers
Medical identifiers for Bryan Joseph Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518698067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WH1000X | Registered Nurse - Hospice | 2015024072 (Missouri) | Secondary |
| 207K00000X | Allergy & Immunology | 2015024072 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Joseph Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Bryan Joseph Gray, BSN, RN 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 | Bryan Joseph Gray, BSN, RN 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
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