Active NPI
Maury Bray III, M.D.
- Otolaryngology Physician
- Boaz, AL
National Provider Identifier
1710090899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 7169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7169 | AL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maury B Bray III | Otolaryngology | Past | 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.
-
- Otolaryngology Physician
- Boaz, AL
- NPI 1265752497
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.