Individual provider Active NPI

Maury Bray III, M.D.

  • Otolaryngology Physician
  • Boaz, AL
National Provider Identifier
1710090899
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
7169 Issued in AL
Practice address
704 Medical Center Pkwy
Boaz, AL 35957-5935
Phone
(256) 593-7266
Fax
(256) 840-9833
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 7169 AL Primary

Addresses

Primary practice location

704 Medical Center Pkwy
Boaz, AL 35957-5935

Mailing address

704 Medical Center Pkwy
Boaz, AL 35957-5935
Phone (256) 593-7266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000927 AL Practitioner - Otolaryngology 7416149810 Practice locations: Boaz, AL

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Alabama School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

704 Medical Ctr Pkwy
Boaz, AL 35957-5935
Phone (256) 593-7266

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7169ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maury B Bray III Otolaryngology PastSince Jan 1, 1994 Accepting new patients

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01G0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0

Organizations & group practices 1

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 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1710090899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575935",
            "telephone_number": "256-593-7266",
            "fax_number": "256-840-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575935",
            "telephone_number": "256-593-7266",
            "fax_number": "256-840-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "MAURY",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "7169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.