Provider Demographics
NPI:1942367529
Name:BRAY, ANTHONY DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:DAVID
Last Name:BRAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2260 S CHURCH ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5390
Mailing Address - Country:US
Mailing Address - Phone:336-221-8989
Mailing Address - Fax:336-221-9694
Practice Address - Street 1:2260 S CHURCH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5390
Practice Address - Country:US
Practice Address - Phone:336-221-8989
Practice Address - Fax:336-221-9694
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9400023207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11196OtherPARTNERS HEALTH PLAN
NC8917586Medicaid
NC17586OtherBCBS OF NC
NC8917586Medicaid
2211037BMedicare ID - Type Unspecified