Marcus Bray, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

157594 Issued in OH

Practice address

3359 Robin Hill CT W
Columbus, OH 43223-3523

Phone

(614) 286-8015

NPI assigned

Apr 20, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• GMC Quality Care LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Columbus, OH
  • NPI 1811746613
  NPD Authorized official

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1013762392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 CHAPEL STONE RD",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049229",
            "telephone_number": "614-286-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 ROBIN HILL CT W",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233523",
            "telephone_number": "614-286-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "157594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Bray
• Heather N Bray, LPN
• Hilary L Bray, LISW
• Kameron Bray
• Lezlie Jo Bray
• Mark A Bray
• Samantha Jo Bray, CDCA
• Taurus Bray
• Patrick Alan Brayfield, AT, MS, CSCS
• Philip Joseph Brazalovich Jr., ATC

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.