Organization Active NPI

George William Gray, III, DO

  • Primary Care Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1043708332
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS14074 Issued in FL
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

Updated by the provider on Apr 23, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1790183168OtherFLNPI

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": "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.

Verify at the official NPI Registry.