Bianca Faith Gray, D.O.
Individual provider Active NPI Family Medicine Physician · Bisbee, AZ
NPI 1376779256 · NPPES record last updated Feb 27, 2015
Key facts
- NPI
- 1376779256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- H73482 (MD)
- Practice address
- 10524 E Highway 92
Bisbee, AZ 85603 - Phone
- (520) 432-2042
- Fax
- (520) 432-2098
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443
Hospital & facility affiliations
- Home Health Safford, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150122001205 | AZ | Practitioner - Family Practice | 2860645637 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bisbee Hospital Association | Current |
Accepting new patients | |
| Bisbee Hospital Association | Current |
Accepting new patients |
Locations
101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383
Interoperability endpoints
- biancagray@cqch.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H73482 | MD | Yes |
Addresses
Primary practice location
10524 E Highway 92
Bisbee, AZ 85603
Mailing address
101 Cole Ave
Bisbee, AZ 85603-1327
Phone (520) 432-2042
Other providers in Bisbee, AZ
- Frances Jones Dba Oxicheck NW
- Mirna Lorena Franco
- Denice Maylene Gaddie
- Kathleen Gonzales
- Joseph John Graca
- Kathy Griesemer
- Linda Thresher Grimes
- Floyd Randel Gummersall
- Michael Harrington
- James Bruce Henrickson
All providers in Bisbee, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.