Molly A Bray, RD,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164005958 Issued in IL

Practice address

1129 N Winchester Ave
Apt. 3F
Chicago, IL 60622-3719

Phone

(651) 206-4585

NPI assigned

Sep 30, 2013

Last updated

Sep 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1821425224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 N WINCHESTER AVE",
            "address_2": "APT. 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223719",
            "telephone_number": "651-206-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N WINCHESTER AVE",
            "address_2": "APT. 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223719",
            "telephone_number": "651-206-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "MOLLY",
        "middle_name": "A",
        "credential": "RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Bray
• Clark A Bray
• Colleen M Bray, OTR/L
• Fraces Bray
• Kelly Bray
• Dana Brazdziunas, MD
• Adam James Braze, D.O.
• Pamela Ann Brazelton-Sykes, MA, MS
• Gabrielle Brazg, PT, DPT
• Nicole Brazg, NP

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.