Individual provider Active NPI

Dolores Bray, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1003852609
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-029788 Issued in AL
Practice address
501 Bishop LN N
Mobile, AL 36608-5821
Phone
(251) 450-2240
Fax
(251) 450-2245
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-029788 AL Primary

Addresses

Primary practice location

501 Bishop LN N
Mobile, AL 36608-5821

Mailing address

5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 450-5916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070705000456 AL Practitioner - Nurse Practitioner 0648370692 Reassigns benefits to 1 organization
I20190625000530 MS Practitioner - Nurse Practitioner 0648370692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

2400 Gordon Smith Dr
Mobile, AL 36617-2319
Phone (251) 450-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-029788ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Clinic LLC CurrentSince May 20, 2019 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Jan 24, 2006 Accepting new patients
Altapointe Health Systems Inc CurrentSince Jan 24, 2006 Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients

Locations

13833 Tapia Ave
Bayou Labatre, AL 36509
Phone (251) 824-4985

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5750 Southland Dr
#A
Mobile, AL 36693
Phone (251) 662-7290

501 Bishop Ln N
Mobile, AL 36608
Phone (251) 450-2240

5750 Southland Dr
Ste C
Mobile, AL 36693
Phone (251) 662-2223

1015 Montlimar Dr
Mobile, AL 36609
Phone (251) 450-2250

4013 Beatline Rd
#A
Long Beach, MS 39560
Phone (228) 200-0720

Interoperability endpoints

  • Direct secure messaging: dolores.bray.p1@direct.accordiahealth.nextgenshare.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1003852609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750A SOUTHLAND DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366933316",
            "telephone_number": "251-450-5916",
            "fax_number": "251-662-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BISHOP LN N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085821",
            "telephone_number": "251-450-2240",
            "fax_number": "251-450-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "DOLORES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-029788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.