Active NPI
Brian Allen Wray, CSFA
- Surgery Physician
- New Kent, VA
National Provider Identifier
1306430590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0136000240
- Practice address
- 9931 Snipe LN
New Kent, VA 23124-2974 - Phone
- (804) 543-9064
- NPI assigned
- Feb 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0136000240 | VA | Primary |
Addresses
Primary practice location
9931 Snipe LN
New Kent, VA 23124-2974
Mailing address
9931 Snipe LN
New Kent, VA 23124-2974
Phone (804) 543-9064
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0136000240 | VA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614384000000",
"number": "1306430590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9931 SNIPE LN",
"city": "NEW KENT",
"state": "VA",
"postal_code": "231242974",
"telephone_number": "804-543-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9931 SNIPE LN",
"city": "NEW KENT",
"state": "VA",
"postal_code": "231242974",
"telephone_number": "804-543-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "BRIAN",
"middle_name": "ALLEN",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-27",
"last_updated": "2021-02-27",
"certification_date": "2021-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0136000240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Kent, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.