Gray, Bradley Wayne

Gray, Bradley Wayne is an sole proprietor health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gray, Bradley Wayne can be contacted via phone (530) 541-3420.

Contact Information

Primary practice address
2170 South Ave South Lake Tahoe CA 96150-7026
Phone: (530) 541-3420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E-10753 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-10753 Arkansas

Profile Details

NPI number 1851785976
LBN Legal business name Gray, Bradley Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2015
Last updated Aug 6th, 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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