Provider Demographics
NPI:1326026485
Name:BRAY, JOHN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:BRAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4485 WILLIAM FLYNN HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-1424
Mailing Address - Country:US
Mailing Address - Phone:412-492-0800
Mailing Address - Fax:412-492-4057
Practice Address - Street 1:4485 WILLIAM FLYNN HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-1424
Practice Address - Country:US
Practice Address - Phone:412-492-0800
Practice Address - Fax:412-492-4057
Is Sole Proprietor?:No
Enumeration Date:2006-01-08
Last Update Date:2007-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD030760E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012372300008Medicaid
PAD79383Medicare UPIN
PA680080PDHMedicare PIN