Active NPI
John David Bray, MD
- Allergy & Immunology Physician
- Midland, TX
National Provider Identifier
1669463899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G3983
- Practice address
- 606-B N Kent St
Midland, TX 79701 - Phone
- (432) 561-8183
- Fax
- (432) 684-7003
- NPI assigned
- Nov 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G3983 | TX | Primary |
| Pediatric Allergy/Immunology Physician | 2080P0201X | G3983 | TX | |
| Pediatric Pulmonology Physician | 2080P0214X | G3983 | TX | |
| Pediatric Sleep Medicine Physician | 2080S0012X | G3983 | TX | |
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | G3983 | TX | |
| Allergy Physician | 207KA0200X | G3983 | TX | |
| Clinical Medical Laboratory | 291U00000X | G3983 | TX |
Addresses
Primary practice location
606-B N Kent St
Midland, TX 79701
Mailing address
606-B N Kent St
Midland, TX 79701
Phone (432) 561-8183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110211301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100208000826 | TX | Practitioner - Allergy/Immunology | 6204902067 | Practice locations: Midland, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Miami, LM Miller School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
606 B N Kent St
Midland, TX 79701-5828
Phone (432) 561-8183
606 BN Kent St
Midland, TX 79701-5828
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Care of the Permian Basin, Inc. | Past | Accepting new patients | |
| John D Bray MD Allergy and Sleep Center PLLC | Allergy & Immunology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Allergy Physician
- Midland, TX
- NPI 1275337305
Allergy & Immunology
-
- Home Health Agency
- Midland, TX
- NPI 1821061987
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1669463899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606-B N KENT ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "79701",
"telephone_number": "432-561-8183",
"fax_number": "432-684-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606-B N KENT ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "79701",
"telephone_number": "432-561-8183",
"fax_number": "432-684-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-05",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "G3983",
"primary": true
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "TX",
"license": "G3983",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "TX",
"license": "G3983",
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "TX",
"license": "G3983",
"primary": false
},
{
"code": "207KI0005X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": "TX",
"license": "G3983",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "TX",
"license": "G3983",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "TX",
"license": "G3983",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110211301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.