David Julius Gray, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

40096 Issued in CO

Practice address

271 Shekel LN
Breckenridge, CO 80424-8916

Phone

(970) 453-6288

NPI assigned

May 9, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 24, 2017 through Nov 24, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hendrick Medical Center

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1861498735
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821202193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 SHEKEL LN",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248916",
            "telephone_number": "970-453-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 SHEKEL LN",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248916",
            "telephone_number": "970-453-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DAVID",
        "middle_name": "JULIUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "40096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gledhill
• Kellyn Glynn, LPC
• Sabrina Jonelle Goff, D.D.S.
• Edward J Goodman, ATC
• Kathleen P Gordon, DPT
• Susan T Greenwood, MS/CCC/SLP
• Tricia Grenier
• Guided Grounds LLC
• Pamela Perga Hafer, PT
• Inanna Allyson Hall, LMT

• Emergency Medicine Physician in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.