Individual provider Active NPI

Blanca Lucia Gray, MD

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1811905789
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4166 Issued in TX
Practice address
4302 Ayers St
Corpus Christi, TX 78415-5318
Phone
(361) 356-4006
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J4166 TX Primary

Addresses

Primary practice location

4302 Ayers St
Corpus Christi, TX 78415-5318

Mailing address

4302 Ayers St
Corpus Christi, TX 78415-5318
Phone (361) 356-4006

Other practice location 1

14646 Compass St
Suite 8
Corpus Christi, TX 78418-6231
Phone (361) 949-8080

Other practice location 2

14646 Compass St
Suite 8
Corpus Christi, TX 78418-6231
Phone (361) 949-8080

Other practice location 3

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080307000169 TX Practitioner - Internal Medicine 6608897509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5317 S Padre Island Dr
Conviva Care Center
Corpus Christi, TX 78411-4103
Phone (361) 356-4888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4166TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Primecare, Inc Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Conviva Medical Center Management of Texas, P.a. Internal Medicine CurrentSince Sep 25, 2023 Accepting new patients
Centerwell Senior Primary Care (SC) PC Internal Medicine CurrentSince Sep 25, 2023 Accepting new patients
David C Gray MD and Blanca L Gray MD Internal Medicine PastSince Nov 15, 1995 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4302 Ayers St
Corpus Christi, TX 78415
Phone (361) 356-4006

5317 S Padre Island Dr
Corpus Christi, TX 78411
Phone (361) 301-5022

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

7031 Marbach Rd
San Antonio, TX 78227
Phone (210) 761-3363

Interoperability endpoints

  • Direct secure messaging: blanca.gray.1@29601.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1811905789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 AYERS ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155318",
            "telephone_number": "361-356-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 AYERS ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155318",
            "telephone_number": "361-356-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14646 Compass St",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784186231",
            "country_code": "US",
            "telephone_number": "361-949-8080",
            "fax_number": "361-949-7988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14646 Compass St",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784186231",
            "country_code": "US",
            "telephone_number": "361-949-8080",
            "fax_number": "361-949-7988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Castroville Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78237",
            "country_code": "US",
            "telephone_number": "210-436-7402",
            "fax_number": "210-436-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BLANCA",
        "middle_name": "LUCIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.