Individual provider Active NPI

Robert Weldon Craig-Gray, M.D.

  • Adult Medicine Physician
  • Andrews AFB, MD
National Provider Identifier
1124101969
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
01055793A Issued in IN
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
01055793AINMDAdult 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.

Verify at the official NPI Registry.