NPIMap

Individual provider Active NPI

James Timothy Gray, R.N., F.N.P.

  • Family Nurse Practitioner
  • Bryan, TX
National Provider Identifier
1568423259
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
650953 Issued in TX
Practice address
3841 Sagebriar
Bryan, TX 77802-6107
Phone
(979) 774-1377
Fax
(979) 774-6147
NPI assigned
Mar 31, 2006
Last updated
May 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 650953 TX Primary

Addresses

Primary practice location

3841 Sagebriar
Bryan, TX 77802-6107

Mailing address

PO Box 10797
College Station, TX 77842-0797
Phone (979) 774-1377

Other names 1

  • James Timothy Gray Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000071 TX Practitioner - Nurse Practitioner 2062310691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3201 University Dr E
Suite 470
Bryan, TX 77802-3487
Phone (979) 731-3906

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
650953TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Physicians Organization,Mso-LLC CurrentSince Mar 18, 2024 Accepting new patients
Brazos Valley Physicians Organization,Mso-LLC CurrentSince Mar 18, 2024 Accepting new patients
James V Stonecipher MD PA Past Accepting new patients
Traditions Emergency Medicine PA Past Accepting new patients
Pain and Spine Consultants of Texas PLLC PastSince Feb 9, 2020 Accepting new patients

Locations

3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888

3201 University Dr E
Ste 470
Bryan, TX 77802
Phone (979) 731-3906

Interoperability endpoints

  • Direct secure messaging: james.gray.1@25466.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1568423259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10797",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778420797",
            "telephone_number": "979-774-1377",
            "fax_number": "979-774-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 SAGEBRIAR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778026107",
            "telephone_number": "979-774-1377",
            "fax_number": "979-774-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAMES",
        "middle_name": "TIMOTHY",
        "credential": "R.N., F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "650953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "GRAY",
            "middle_name": "TIMOTHY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.