Active NPI
George William Gray, III, DO
- Primary Care Clinic/Center
- Vero Beach, FL
National Provider Identifier
1043708332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- OS14074
- Legal business name
- GEORGE WILLIAM GRAY, III, DO
- Practice address
- 2000 38TH Ave
Vero Beach, FL 32960-2451 - Phone
- (772) 794-2227
- Fax
- (772) 794-9909
- NPI assigned
- Apr 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Glenton
- Title
- Office Manager
- Phone
- (772) 794-2227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | OS14074 | FL | Primary |
Addresses
Primary practice location
2000 38TH Ave
Vero Beach, FL 32960-2451
Mailing address
2000 38TH Ave
Vero Beach, FL 32960-2451
Phone (772) 794-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790183168 | Other | FL | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Vero Beach, FL
- NPI 1790183168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524441600000",
"number": "1043708332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 38TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329602451",
"telephone_number": "772-794-2227",
"fax_number": "772-794-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 38TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329602451",
"telephone_number": "772-794-2227",
"fax_number": "772-794-9909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE WILLIAM GRAY, III, DO",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-23",
"last_updated": "2018-04-23",
"status": "A",
"authorized_official_last_name": "GLENTON",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "772-794-2227"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "OS14074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1790183168",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.