Active NPI
William Bray, M.D.
- Family Medicine Physician
- Lafayette, IN
National Provider Identifier
1629099908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01048895
- Practice address
- 1321 Unity Place
Lafayette, IN 47905-5774 - Phone
- (765) 446-2450
- Fax
- (765) 446-1083
- NPI assigned
- Jul 21, 2006
- Last updated
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01048895 | IN | Primary |
| Occupational Medicine Physician | 2083X0100X | 01048895 | IN |
Addresses
Primary practice location
1321 Unity Place
Lafayette, IN 47905-5774
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200248280 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sigma Medical Group, LLC | Past | Accepting new patients | |
| Rush Memorial Hospital | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- william.bray.1@23284.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Lafayette, IN
- NPI 1386668812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1629099908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 UNITY PLACE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055774",
"telephone_number": "765-446-2450",
"fax_number": "765-446-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01048895",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IN",
"license": "01048895",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200248280",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.