Bryce Allen Bray, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9498 Issued in MN

Practice address

214 Labree Ave N
Thief River Falls, MN 56701-2035

Phone

(218) 681-3233

Fax

(218) 683-7535

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194878280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LABREE AVE N",
            "address_2": "PO BOX 402",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012035",
            "telephone_number": "218-681-3233",
            "fax_number": "218-683-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LABREE AVE N",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012035",
            "telephone_number": "218-681-3233",
            "fax_number": "218-683-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "BRYCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Bradley Bentson, LP
• Desiree M Bertilrud, NP
• Brittney Leigh Bimler, LICSW
• Danielle Boe
• Christopher J Borgen, OD
• Mary Breitenbucher, PHD, LP
• Ronald J Brockman, MD
• Kassidy Brown, LMT
• Duane C Browning, MD
• Morghan Jo Bugge

• General Practice Dentistry in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.