Bray, David Wayne

Bray, David Wayne is an individual health care provider with primary practice located at 1900 N Beauregard St Suite 110, Alexandria VA 22311-1736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bray, David Wayne can be contacted via phone (703) 212-7546.

Contact Information

Primary practice address
1900 N Beauregard St Suite 110 Alexandria VA 22311-1736
Fax: (703) 212-7282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 101249344 Virginia

Profile Details

NPI number 1740266386
LBN Legal business name Bray, David Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Nov 9th, 2012 - about 14 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 1740266386 NPPES
Virginia Other 681531 MEDICARE, PTAN

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