Individual provider Active NPI

Debra L. Bray, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1508141722
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026149 Issued in OH
Practice address
5500 S Marginal Rd
Cleveland, OH 44103-1072
Phone
(216) 426-9020
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X APRN.CNP.026149 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.026149 OH Primary

Addresses

Primary practice location

5500 S Marginal Rd
Cleveland, OH 44103-1072

Mailing address

24790 Fairmount Blvd
Beachwood, OH 44122-2242
Phone (216) 536-0551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221221002631 NV Practitioner - Nurse Practitioner 6608246350 Reassigns benefits to 1 organization
I20231020000708 OH Practitioner - Nurse Practitioner 6608246350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026149OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PHD Care Home Health Family Current Accepting new patients
Signify Health, LLC CurrentSince Dec 19, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 24, 2025 Accepting new patients
Preventive Healthcare Direct Family Current Accepting new patients
Silver Healthcare Solutions LLC Family PastSince Dec 1, 2022 Accepting new patients

Locations

701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1508141722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24790 FAIRMOUNT BLVD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441222242",
            "telephone_number": "216-536-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S MARGINAL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441031072",
            "telephone_number": "216-426-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "DEBRA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "APRN.CNP.026149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.