Active NPI
Robert Weldon Craig-Gray, M.D.
- Adult Medicine Physician
- Andrews AFB, MD
National Provider Identifier
1124101969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 01055793A
- Practice address
- 1075 W. Perimeter Rd
79TH Amds/SGPF
Andrews AFB, MD 20762-0000 - Phone
- (240) 857-5282
- Fax
- (240) 857-3073
- NPI assigned
- Oct 23, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 01055793A | IN | Primary |
| Aerospace Medicine Physician | 2083A0100X | 01055793A | IN |
Addresses
Primary practice location
1075 W. Perimeter Rd
79TH Amds/SGPF
Andrews AFB, MD 20762-0000
Mailing address
1210 Ring Bill Loop
Upper Marlboro, MD 20774-7171
Phone (301) 218-6136
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055793A | IN | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124101969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 RING BILL LOOP",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747171",
"telephone_number": "301-218-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 W. PERIMETER RD",
"address_2": "79TH AMDS/SGPF",
"city": "ANDREWS AFB",
"state": "MD",
"postal_code": "207620000",
"telephone_number": "240-857-5282",
"fax_number": "240-857-3073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG-GRAY",
"first_name": "ROBERT",
"middle_name": "WELDON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "IN",
"license": "01055793A",
"primary": true
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "IN",
"license": "01055793A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andrews AFB, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.