| Bray Family Medicine, Pllc | |
|
303 Professional Park Dr Arkadelphia AR 71923-5317 | |
| (870) 464-1515 | |
| (870) 464-1514 |
| Full Name | Bray Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 303 Professional Park Dr, Arkadelphia, Arkansas |
| Authorized Official Name and Position | Shelly C Bray (OWNER, PHYSICIAN) |
| Authorized Official Contact | 8704641515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bray Family Medicine, Pllc 303 Professional Park Dr Arkadelphia AR 71923-5317 Ph: (870) 464-1515 | Bray Family Medicine, Pllc 303 Professional Park Dr Arkadelphia AR 71923-5317 Ph: (870) 464-1515 |
| NPI Number | 1528459369 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Medicare PECOS PAC ID | 6507185980 |
|---|---|
| Medicare Enrollment ID | O20150506002204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528459369 | NPI | - | NPPES |
| Provider Name | Shelly C Bray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902824162 PECOS PAC ID: 6507821774 Enrollment ID: I20041130000264 |
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