NPIMap

Individual provider Active NPI

Cassandra E Bray, M.D.

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1700935897
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9299 Issued in SC
Practice address
2 Innovation Dr Ste 300
Greenville, SC 29607-5268
Phone
(864) 365-0123
Fax
(864) 365-0133
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9299 SC Primary

Addresses

Primary practice location

2 Innovation Dr Ste 300
Greenville, SC 29607-5268

Mailing address

2 Innovation Dr Ste 300
Greenville, SC 29607-5268
Phone (864) 365-0123

Other identifiers 1

IdentifierTypeStateIssuer
4219119OtherSCAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070507000058 SC Practitioner - Internal Medicine 8325024607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

406 N Poinsett Hwy
Travelers Rest, SC 29690-1667
Phone (864) 834-4151

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9299SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc Internal Medicine CurrentSince Jun 19, 2010 Accepting new patients
St. Francis Hospital, Inc. CurrentSince Oct 1, 2000 Accepting new patients
St Francis Hospital Inc CurrentSince Oct 1, 2000 Accepting new patients
St. Francis Physician Services Inc Internal Medicine CurrentSince Jun 19, 2010 Accepting new patients
Carolina Medical Center Internal Medicine Past Accepting new patients
St Francis Physician Services Inc Internal Medicine Past Accepting new patients

Locations

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

2 Innovation Dr
Ste 300
Greenville, SC 29607
Phone (864) 365-0123

1200 Brookfield Blvd
Ste 400B
Greenville, SC 29607
Phone (864) 605-3721

Interoperability endpoints

  • Direct secure messaging: cbray1149700@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1700935897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075268",
            "telephone_number": "864-365-0123",
            "fax_number": "864-365-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075268",
            "telephone_number": "864-365-0123",
            "fax_number": "864-365-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "CASSANDRA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "9299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4219119",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.