Jordan Bray, DC, ND

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4559 Issued in OH

Practice address

110 S Stanfield Rd
Suite a
Troy, OH 45373-3098

Phone

(937) 418-2822

NPI assigned

Nov 6, 2015

Last updated

Nov 6, 2015By 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 2

Addresses

Other identifiers 1

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": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1366815789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 N HETZLER RD",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569556",
            "telephone_number": "937-418-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S STANFIELD RD",
            "address_2": "SUITE A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733098",
            "telephone_number": "937-418-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC, ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4559",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "47-5275818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Borchers, RPH
• Lara Bott, AUD
• Hannah Boy
• John M Bozick X, DDS
• Nancy Bradley
• Erin Bremke
• Bridgett Tillman
• Julie Broeker, NP
• Brookdale Senior Living Communities, Inc. (Brookdale Troy)
• David L Brown, MD

• Chiropractor in Troy, OH
• Providers in Troy, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.