Gray, Bryan

Gray, Bryan is an individual health care provider with primary practice located at 5100 Eastern Ave , Baltimore MD 21224-2772. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gray, Bryan can be contacted via phone (410) 814-4500.

Contact Information

Primary practice address
5100 Eastern Ave Baltimore MD 21224-2772
Phone: (410) 814-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7760-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004415 Virginia

Profile Details

NPI number 1588095285
LBN Legal business name Gray, Bryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2013
Last updated Feb 29th, 2024 - about 2 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 1588095285 NPPES
Wisconsin MEDICAID 100268313

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