Organization Active NPI

Robert S. Bray MD, Inc

  • Neurological Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1013052133
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C42201 Issued in CA
Legal business name
ROBERT S. BRAY MD, INC
Practice address
3501 Jamboree Road
Suite 1250
Newport Beach, CA 92660-2904
Phone
(310) 854-3800
Fax
(310) 574-0371
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Mr. Robert S Bray Jr., M.D.NPI 1154463776
Title
President
Phone
(949) 988-7899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X C42201 CA Primary

Addresses

Primary practice location

3501 Jamboree Road
Suite 1250
Newport Beach, CA 92660-2904

Mailing address

3501 Jamboree Road
Suite 1250
Newport Beach, CA 92660-2904
Phone (310) 574-0417

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1013052133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE ROAD",
            "address_2": "SUITE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602904",
            "telephone_number": "310-574-0417",
            "fax_number": "310-574-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE ROAD",
            "address_2": "SUITE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602904",
            "telephone_number": "310-854-3800",
            "fax_number": "310-574-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. BRAY MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-988-7899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C42201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.