Organization Active NPI

Dr. Bruce Gray, PA

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1790931343
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5811 Issued in NC
Legal business name
DR. BRUCE GRAY, PA
Practice address
5606 Apex Highway
Durham, NC 27713-0000
Phone
(919) 544-3672
Fax
(919) 544-8958
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Bruce Gray
Title
DDS
Phone
(919) 544-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5811 NC Primary

Addresses

Primary practice location

5606 Apex Highway
Durham, NC 27713-0000

Mailing address

5606 Apex Highway
Durham, NC 27713-0000
Phone (919) 544-3672

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1790931343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 APEX HIGHWAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277130000",
            "telephone_number": "919-544-3672",
            "fax_number": "919-544-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 APEX HIGHWAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277130000",
            "telephone_number": "919-544-3672",
            "fax_number": "919-544-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRUCE GRAY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "919-544-3672",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.