Gray, Bruce Harvey

Gray, Bruce Harvey is an individual health care provider with primary practice located at 200 Patewood Dr Suite C300, Greenville SC 29615-3557. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gray, Bruce Harvey can be contacted via phone (864) 454-8272.

Contact Information

Primary practice address
200 Patewood Dr Suite C300 Greenville SC 29615-3557
Phone: (864) 454-8272
Fax: (864) 454-2875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 606 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0606 South Carolina

Profile Details

NPI number 1023066495
LBN Legal business name Gray, Bruce Harvey
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 1st, 2021 - about 5 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 1023066495 NPPES
South Carolina Other 4466189 AETNA
South Carolina MEDICAID T00237 AETNA
South Carolina Other 110218125 AETNA
South Carolina Other 576007863093 AETNA
South Carolina Other 576007863071 AETNA
South Carolina Other 1864198 AETNA

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