Nicole Ann Bray, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04796 Issued in TX

Practice address

2720 Western Center Blvd Ste 312
Fort Worth, TX 76131-4302

Phone

(855) 893-5637

Fax

(817) 666-3873

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.bray.1@27041.direct.athenahealth.com

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.

• Access Wellness Resources

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1568116291
  Medicare reassignment Care Compare group
• Timarron Family Medicine PA

  • Family Medicine Physician
  • Southlake, TX
  • NPI 1073727368
  Medicare reassignment
• Grapevine Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Grapevine, TX
  • NPI 1770650483

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Grapevine

  • General Acute Care Hospital
  • Grapevine, TX
  • NPI 1073511762
  Care Compare affiliation

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1013050533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061946",
            "telephone_number": "972-417-8937",
            "fax_number": "972-439-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 WESTERN CENTER BLVD STE 312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314302",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Airport Fwy Ste 405",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760216607",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6029 Belt Line Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752549109",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402343",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 Lancaster Dr",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513544",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1752 Broad Park Cir N Ste 114",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760637824",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Eureka St Ste B",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760866521",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4004 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754017854",
            "country_code": "US",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Brawley
• Marianne Brawner, MS, CCC-SLP
• Fe Ann Braxton
• Ivonne Braxton, FNP-BC
• Mary Bray, MS, RD, LD
• Shelley Delane Braymen, LPCA
• Alyssa Marie Brazell, OTR
• Kelli Melissa Brazzel, RN
• Bre Breathe Transportation Services, LLC
• Breath Body Behavior

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.