Active NPI
Bryan Keith Bray, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Greensboro, NC
National Provider Identifier
1124020482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 700007
- Practice address
- 2006 N Church St
Greensboro, NC 27405-5634 - Phone
- (336) 763-6968
- Fax
- (336) 763-7352
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 700007 | NC | Primary |
Addresses
Primary practice location
2006 N Church St
Greensboro, NC 27405-5634
Mailing address
7008 Old Greensboro Rd
Thomasville, NC 27360-7429
Phone (336) 202-6599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 700007 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medication Management, LLC | Current | Accepting new patients | |
| Greensboro Medical Associates, P.a. | Past | Accepting new patients |
Locations
2006 N Church St
Greensboro, NC 27405
Phone (336) 763-6968
802 Green Valley Rd
Ste 106
Greensboro, NC 27408
Phone (336) 373-0644
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAIIBA
Organizations & group practices 2
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.
-
- Research Clinic/Center
- Greensboro, NC
- NPI 1952059255
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1336102078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1124020482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 OLD GREENSBORO RD",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273607429",
"telephone_number": "336-202-6599",
"fax_number": "336-763-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 N CHURCH ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055634",
"telephone_number": "336-763-6968",
"fax_number": "336-763-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "BRYAN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "700007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.