NPIMap

Organization Active NPI

Medical Edge Healthcare Group PA

Doing business as Timothy Bray DO

  • Durable Medical Equipment & Medical Supplies
  • Rockwall, TX
National Provider Identifier
1619119245
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL EDGE HEALTHCARE GROUP PA
Doing business as
Timothy Bray DO
Practice address
1201 Arista Dr Ste 101
Rockwall, TX 75032-6860
Phone
(972) 772-5522
Fax
(972) 772-9443
NPI assigned
Mar 27, 2009
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Clay Heighten
Title
President
Phone
(972) 739-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1201 Arista Dr Ste 101
Rockwall, TX 75032-6860

Mailing address

1201 Arista Dr Ste 101
Rockwall, TX 75032-6860
Phone (972) 772-5522

Other names 1

  • Timothy Bray DO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Edge Healthcare GRP19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1201 Arista Dr
Ste 101
Rockwall, TX 75032
Phone (833) 225-9393

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1619119245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ARISTA DR STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326860",
            "telephone_number": "972-772-5522",
            "fax_number": "972-772-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARISTA DR STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326860",
            "telephone_number": "972-772-5522",
            "fax_number": "972-772-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EDGE HEALTHCARE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "HEIGHTEN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-739-3001"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy Bray DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.