Organization Active NPI

David J Gray PC

  • Plastic Surgery Physician
  • Huntsville, AL
National Provider Identifier
1740461177
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25672 Issued in AL
Legal business name
DAVID J GRAY PC
Doing business as
Alabama Aesthetic Surgery Associates
Practice address
910 Adams St SE
Suite 130
Huntsville, AL 35801-3730
Phone
(256) 265-7957
Fax
(256) 265-7965
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. David Joseph Gray
Title
Owner
Phone
(256) 265-7957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 25672 AL Primary

Addresses

Primary practice location

910 Adams St SE
Suite 130
Huntsville, AL 35801-3730

Mailing address

910 Adams St SE
Suite 130
Huntsville, AL 35801-3730
Phone (256) 265-7957

Other identifiers 2

IdentifierTypeStateIssuer
51519686OtherALMEDICARE
51519686MedicaidAL

Other names 1

  • Alabama Aesthetic Surgery Associates Doing business as

National Provider Directory

National Provider Directory

Locations

714 State St
Muscle Shoals, AL 35661
Phone (256) 265-7957

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1740461177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE",
            "address_2": "SUITE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013730",
            "telephone_number": "256-265-7957",
            "fax_number": "256-265-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE",
            "address_2": "SUITE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013730",
            "telephone_number": "256-265-7957",
            "fax_number": "256-265-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J GRAY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-265-7957",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "25672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "51519686",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51519686",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Aesthetic Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.