Organization Active NPI

Peter E. Grays MD Surgical Center PA

  • Surgery Physician
  • Bedford, TX
National Provider Identifier
1508945056
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H6254 Issued in TX
Legal business name
PETER E. GRAYS MD SURGICAL CENTER PA
Practice address
1909 Central Dr
Suite 202
Bedford, TX 76021-5831
Phone
(817) 571-4620
Fax
(817) 571-4701
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Dr. Peter Edward Grays, MDNPI 1306868716
Title
President
Phone
(817) 571-4620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X H6254 TX Primary

Addresses

Primary practice location

1909 Central Dr
Suite 202
Bedford, TX 76021-5831

Mailing address

1909 Central Dr
Suite 202
Bedford, TX 76021-5831
Phone (817) 571-4620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061208000414 TX Part B Supplier - Clinic/Group Practice 5496753766 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX; Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1508945056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 CENTRAL DR",
            "address_2": "SUITE 202",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215831",
            "telephone_number": "817-571-4620",
            "fax_number": "817-571-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CENTRAL DR",
            "address_2": "SUITE 202",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215831",
            "telephone_number": "817-571-4620",
            "fax_number": "817-571-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER E. GRAYS MD SURGICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "GRAYS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-571-4620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "H6254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.