Brian Wallace Gray, MD | |
705 Riley Hospital Dr Rm 2500, Indianapolis, IN 46202-5109 | |
(317) 439-1949 | |
(317) 274-4603 |
Full Name | Brian Wallace Gray |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 705 Riley Hospital Dr Rm 2500, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770791378 | NPI | - | NPPES |
201238800 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 01074108A (Indiana) | Primary |
208600000X | Surgery | 01074108A (Indiana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pediatric Surgical Associates, Inc | 9032123468 | 7 |
Entity Name | Indiana University Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20031112000030 |
Entity Name | Pediatric Surgical Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790880292 PECOS PAC ID: 9032123468 Enrollment ID: O20060206000474 |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Brian Wallace Gray, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Brian Wallace Gray, MD 705 Riley Hospital Dr Rm 2500, Indianapolis, IN 46202-5109 Ph: (317) 439-1949 |
Dr. Saila Thanu Pillai, MD, MS, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Mpc2 #3300, Indianapolis, IN 46202 Phone: 317-948-0944 Fax: 317-274-2940 | |
Kyle Norris Seudeal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 Phone: 317-865-4800 Fax: 317-865-4806 | |
Shelby Lynn Allen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-274-0283 | |
Dr. Stephen Neil Quigley, Surgery Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd # Uh1295, Indianapolis, IN 46202 Phone: 317-274-3086 | |
Dr. John J. Coleman Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 545 Barnhill Dr, Eh 232, Indianapolis, IN 46202 Phone: 317-274-3636 Fax: 317-274-8746 | |
Eric Alan Wiebke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 545 Barnhill Drive, Eh 5th Floor University Surgeons, Inc, Indianapolis, IN 46202 Phone: 317-274-3086 Fax: 317-274-0241 | |
Jose Perez Garcia, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Mpc2 #3300, Indianapolis, IN 46202 Phone: 317-944-6562 Fax: 317-274-2940 |