Organization Active NPI

George William Gray Jr MD PA

  • Legal Medicine
  • Vero Beach, FL
National Provider Identifier
1598083719
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME44475 Issued in FL
Legal business name
GEORGE WILLIAM GRAY JR MD PA
Practice address
2000 38TH Ave
Vero Beach, FL 32960-2451
Phone
(772) 794-2227
Fax
(772) 794-9909
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Rachel Glenton
Title
Office Manager/Billing
Phone
(772) 794-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X ME44475 FL Primary

Addresses

Primary practice location

2000 38TH Ave
Vero Beach, FL 32960-2451

Mailing address

2000 38TH Ave
Vero Beach, FL 32960-2451
Phone (772) 794-2227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101201001164 FL Part B Supplier - Clinic/Group Practice 5092901009 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1598083719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 38TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602451",
            "telephone_number": "772-794-2227",
            "fax_number": "772-794-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 38TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602451",
            "telephone_number": "772-794-2227",
            "fax_number": "772-794-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE WILLIAM GRAY JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "GLENTON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING",
        "authorized_official_telephone_number": "772-794-2227"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME44475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.