Bradley Thomas Gray, RN is a
Registered Nurse based in Grey Eagle, Minnesota. Bradley Thomas Gray is licensed to practice in Minnesota (license number 2493855) and his current practice location is
11114 Almond Dr, Grey Eagle, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(605) 413-7349.
NPI number for Bradley Thomas Gray is 1659948974 and his current mailing address is Po Box 156, Grey Eagle, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659948974.
Provider's Profile
| Full Name | Bradley Thomas Gray |
|---|
| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 11114 Almond Dr, Grey Eagle, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659948974
- Provider Enumeration Date: 06/06/2021
- Last Update Date: 04/26/2022
Medical Identifiers
Medical identifiers for Bradley Thomas Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659948974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 763648 (Minnesota) | Secondary |
| 163W00000X | Registered Nurse | 2493855 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Thomas Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bradley Thomas Gray, RN
Po Box 156,
Grey Eagle, MN 56336-0156
Ph: (507) 475-4354 | Bradley Thomas Gray, RN
11114 Almond Dr,
Grey Eagle, MN 56336-4643
Ph: (605) 413-7349 |
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