Mr Gordon Bray, CRNA is a
Nurse Anesthetist, Certified Registered based in Claxton, Georgia. Mr Gordon Bray is licensed to practice in Georgia (license number RN030371) and his current practice location is
200 N River St, Claxton, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 739-5297.
NPI number for Mr Gordon Bray is 1285770321 and his current mailing address is 200 N River St, Claxton, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285770321.
Provider's Profile
| Full Name | Mr Gordon Bray |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 200 N River St, Claxton, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285770321
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Gordon Bray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285770321 | NPI | - | NPPES |
| 00908927A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN030371 (Georgia) | 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. Mr Gordon Bray 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 |
|---|
Mr Gordon Bray, CRNA
200 N River St,
Claxton, GA 30417-1659
Ph: (912) 739-5297 | Mr Gordon Bray, CRNA
200 N River St,
Claxton, GA 30417-1659
Ph: (912) 739-5297 |
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