| Bray Family Health And Wellness, Llc | |
|
35 Spivey St Red Boiling Springs TN 37150-2078 | |
| (615) 699-7425 | |
| (615) 699-7427 |
| Full Name | Bray Family Health And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 35 Spivey St, Red Boiling Springs, Tennessee |
| Authorized Official Name and Position | Beverly J Colter (OFFICE MANAGER) |
| Authorized Official Contact | 6156997425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bray Family Health And Wellness, Llc 35 Spivey St Red Boiling Springs TN 37150-2078 Ph: (615) 699-7425 | Bray Family Health And Wellness, Llc 35 Spivey St Red Boiling Springs TN 37150-2078 Ph: (615) 699-7425 |
| NPI Number | 1750906335 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 08/28/2020 |
| Medicare PECOS PAC ID | 4587086566 |
|---|---|
| Medicare Enrollment ID | O20200619002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750906335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Shalena Natasha Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255983946 PECOS PAC ID: 7012248982 Enrollment ID: I20191007002607 |
Rbs Healhcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 165 Dale St, Red Boiling Springs, TN 37150 Phone: 615-699-3169 | |
Red Boiling Springs Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 Lafayette Rd, Red Boiling Springs, TN 37150 Phone: 615-699-4035 |