Gray, Bradford Clayton

Gray, Bradford Clayton is an individual health care provider with primary practice located at 19 Friendship St Bldg Suite240 , Newport RI 02840-2272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gray, Bradford Clayton can be contacted via phone (401) 619-3930.

Contact Information

Primary practice address
19 Friendship St Bldg Suite240 Newport RI 02840-2272
Phone: (401) 619-3930
Fax: (401) 845-1075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD14900 Rhode Island

Profile Details

NPI number 1003896986
LBN Legal business name Gray, Bradford Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jan 29th, 2020 - about 6 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 1003896986 NPPES
Massachusetts Other J22582 BLUE SHIELD
Massachusetts MEDICAID 0101991 BLUE SHIELD
Massachusetts Other 205717 BLUE SHIELD
Massachusetts MEDICAID 1003896986 BLUE SHIELD

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