Harrison Michael Gray, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

8849808-1204 Issued in UT

Practice address

1055 N 300 W Ste 101
Provo, UT 84604-3381

Phone

(801) 852-3460

Fax

(801) 852-3459

NPI assigned

Jun 18, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

General Surgery

Education

Oklahoma State University College of Osteopathic Medicine, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Utah Surgical Associates, Inc.

  • Specialist
  • Provo, UT
  • NPI 1851450720
  Medicare reassignment NPD

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1750950440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N UNIVERSITY AVE STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046695",
            "telephone_number": "801-374-9625",
            "fax_number": "801-374-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 101",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043381",
            "telephone_number": "801-852-3460",
            "fax_number": "801-852-3459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 N University Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846046695",
            "country_code": "US",
            "telephone_number": "801-374-9625",
            "fax_number": "801-374-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "HARRISON",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "8849808-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750950440",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Graves
• Marshall Kerry Graves
• Alexander C. Gray, CSW
• Bronson Gray
• Hannah Marie Gray
• Jason Gray, PA-C, MPAS
• Jordan Robert Gray, PRO. COUNSELOR
• Preston Gray, PA
• Rhiannon Gray
• Sierra Marie Gray

• Surgery Physician in Provo, UT
• Providers in Provo, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.

Verify at the official NPI Registry.