Provider Demographics
NPI:1851350557
Name:BRAY, JAMES E (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:BRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7399
Mailing Address - Street 2:NEZ B1.013
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78713
Mailing Address - Country:US
Mailing Address - Phone:512-232-5464
Mailing Address - Fax:512-232-5054
Practice Address - Street 1:405 E. 23RD STREET
Practice Address - Street 2:NEZ B1
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712
Practice Address - Country:US
Practice Address - Phone:512-232-5464
Practice Address - Fax:512-232-5054
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4263207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00269392OtherRR/MEDICARE
TX8S0394OtherBLUE SHIELD
TX1525826-04OtherCSHCN
TX1525826-03Medicaid
TX8D5009Medicare ID - Type Unspecified
TX1525826-04OtherCSHCN