Individual provider Active NPI

Robert F Bray, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Spokane, WA
National Provider Identifier
1801878665
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
MD 00020072 Issued in WA
Practice address
121 S Arthur St
Spokane, WA 99202-2253
Phone
(509) 456-0438
Fax
(509) 458-0359
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD 00020072 WA Primary

Addresses

Primary practice location

121 S Arthur St
Spokane, WA 99202-2253

Mailing address

121 S Arthur St
Spokane, WA 99202-2253
Phone (509) 456-0438

Other identifiers 1

IdentifierTypeStateIssuer
8274508MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20040804000216 WA Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 3971574823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 00020072WAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Spokane Hospice and Palliative Medicine CurrentSince Nov 30, 2012 Accepting new patients
Inland Empire Hospital Services Association Past Accepting new patients

Locations

367 E 7th Ave
Spokane, WA 99202
Phone (509) 838-2567

121 S Arthur St
Spokane, WA 99202
Phone (509) 456-0438

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1801878665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S ARTHUR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022253",
            "telephone_number": "509-456-0438",
            "fax_number": "509-458-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ARTHUR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022253",
            "telephone_number": "509-456-0438",
            "fax_number": "509-458-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD 00020072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8274508",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.