Active NPI
Dylan Bray, AA
- Anesthesiologist Assistant
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 82-17
- Practice address
- 225 S Executive Dr
Brookfield, WI 53005-4257 - Phone
- (608) 770-0908
- NPI assigned
- Jun 14, 2016
- Last updated
- Jun 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 82-17 | WI | Primary |
| Anesthesiologist Assistant | 367H00000X | ANT.0000131 | CO |
Addresses
Primary practice location
225 S Executive Dr
Brookfield, WI 53005-4257
Mailing address
2135 N Lake Dr
Milwaukee, WI 53202-1334
Other practice location 1
12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Madison Anesthesiology Consultants, LLP | Current | Accepting new patients |
Locations
975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
202 S Park St
#4
Madison, WI 53715
Phone (608) 267-6676
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
Interoperability endpoints
- dbray1017719@direct.unitypoint.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Madison, WI
- NPI 1669550711
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UnityPoint Health - Meriter Therapies
- Rehabilitation Clinic/Center
- Madison, WI
- NPI 1073672556
Hospital
-
dba UnityPoint Health - Meriter
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1790135457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 N LAKE DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532021334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S EXECUTIVE DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054257",
"telephone_number": "608-770-0908"
}
],
"practiceLocations": [
{
"address_1": "12605 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452545",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAY",
"first_name": "DYLAN",
"credential": "AA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "WI",
"license": "82-17",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "CO",
"license": "ANT.0000131",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.