Individual provider Active NPI

Brandon Gray

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1386212033
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
206101 Issued in TN
Practice address
1265 Union Ave
Memphis, TN 38104-3415
Phone
(901) 516-7000
NPI assigned
Jun 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 206101 TN Primary

Addresses

Primary practice location

1265 Union Ave
Memphis, TN 38104-3415

Mailing address

6060 Primacy Pkwy Ste 241
Memphis, TN 38119-5743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211209002237 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648660415 Reassigns benefits to 3 organizations
I20220119003217 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648660415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.75 of 100Reported as group
Quality
83.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
206101TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jul 13, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2024 Accepting new patients
Medical Anesthesia Group, PA CurrentSince Aug 25, 2021 Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

1044 Cresthaven Rd
Memphis, TN 38119
Phone (662) 470-5029

80 Humphreys Center Dr
Ste 310
Memphis, TN 38120
Phone (901) 474-3370

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6060 E Primacy Pkwy
Ste 241
Memphis, TN 38119
Phone (901) 725-5846

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1363 S Germantown Rd
Memphis, TN 38138
Phone (901) 516-6000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1386212033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 PRIMACY PKWY STE 241",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-516-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "206101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.