Bruce Carson Gray, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35082188 Issued in OH

Practice address

110 N Poplar St
McCullough Hyde Mem Hosp Anesthesia Dept
Oxford, OH 45056-1204

Phone

(513) 524-5440

Fax

(513) 524-5559

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1790778165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "address_2": "WOAA-CRED",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "513-524-5574",
            "fax_number": "614-442-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N POPLAR ST",
            "address_2": "MCCULLOUGH HYDE MEM HOSP ANESTHESIA DEPT",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561204",
            "telephone_number": "513-524-5440",
            "fax_number": "513-524-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRUCE",
        "middle_name": "CARSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35082188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200306220",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00096729",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Gilreath, DO
• Daphne Glenn, PT
• Adam Gloyeske, ACUPUNCTURIST
• Mandy Gloyeske, DC, CPM
• Graceful Hands LLC
• Ariana Green
• Barbara E Green, LISW
• Sharin Green
• Julie Marie Greene, FNP
• Stephanie Greggila, ATC

• Anesthesiology Physician in Oxford, OH
• Providers in Oxford, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.