Active NPI
Bennie B Gray, ARNP
- Registered Nurse
- Wichita, KS
National Provider Identifier
1184738734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 13-36340-111
- Practice address
- 8338 W 13TH St N
Wichita, KS 67212-2900 - Phone
- (316) 729-1030
- NPI assigned
- Aug 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-36340-111 | KS | Primary |
| Family Nurse Practitioner | 363LF0000X | 44008 | KS |
Addresses
Primary practice location
8338 W 13TH St N
Wichita, KS 67212-2900
Mailing address
8338 W 13TH St N
Wichita, KS 67212-2900
Phone (316) 729-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00266942 | Other | RR MEDICARE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-36340-111 | KS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1184738734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8338 W 13TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672122900",
"telephone_number": "316-729-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8338 W 13TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672122900",
"telephone_number": "316-729-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "BENNIE",
"middle_name": "B",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "13-36340-111",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "44008",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00266942",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
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.