Bonnie Gray

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4034 N 18TH St
3535 N 50TH Street
Milwaukee, WI 53209-6802

Phone

(414) 449-5814

Fax

(414) 445-6977

NPI assigned

Nov 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351987200000",
    "number": "1144574757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 N 18TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096802",
            "telephone_number": "414-449-5814",
            "fax_number": "414-445-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 N 18TH ST",
            "address_2": "3535 N 50TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096802",
            "telephone_number": "414-449-5814",
            "fax_number": "414-445-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-04",
        "last_updated": "2012-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Margaret Graves
• Sonya Graves
• Joy Gravos
• Thomas Grawey, DO
• Angelique Gray, LPN
• Camdin Gray
• Cameal Larese Gray, LPC
• Crystal J Gray, LPN
• Denice L Gray, RN, BSN
• Empress Andrea Gray

• Case Manager/Care Coordinator in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2012; 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.