Active NPI
Ryan Bray
- Orthopaedic Trauma Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 5101025565
- Practice address
- 311 Mack Ave FL 5
Detroit, MI 48201-2466 - Phone
- (313) 832-0500
- Fax
- (313) 966-8400
- NPI assigned
- Feb 23, 2015
- Last updated
- Sep 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 5101025565 | MI | Primary |
Addresses
Primary practice location
311 Mack Ave FL 5
Detroit, MI 48201-2466
Mailing address
311 Mack Ave FL 5
Detroit, MI 48201-2466
Phone (313) 832-0500
Other practice location 1
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-1008
Other practice location 2
2213 Cherry St
ACC Ortho Clinic
Toledo, OH 43608-2603
Phone (419) 251-6530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3015 Squalicum Pkwy
Suite 200
Bellingham, WA 98225-1906
Phone (360) 788-6057
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| VHS Sinai-Grace Hospital Inc | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- rbray530063@direct.peacehealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PeaceHealth Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
-
dba Sinai-Grace Hospital
- Radiation Oncology Physician
- Detroit, MI
- NPI 1043681174
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1336531730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MACK AVE FL 5",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012466",
"telephone_number": "313-832-0500",
"fax_number": "313-966-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MACK AVE FL 5",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012466",
"telephone_number": "313-832-0500",
"fax_number": "313-966-8400"
}
],
"practiceLocations": [
{
"address_1": "6071 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352624",
"country_code": "US",
"telephone_number": "313-966-1008",
"fax_number": "313-966-9510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2213 Cherry St",
"address_2": "ACC Ortho Clinic",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082603",
"country_code": "US",
"telephone_number": "419-251-6530",
"fax_number": "419-251-6849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAY",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-23",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MI",
"license": "5101025565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.