Bryan Gray, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34.013501 Issued in OH

Practice address

750 W High St Ste 300
Lima, OH 45801-2967

Phone

(419) 229-6781

Fax

(614) 386-9506

NPI assigned

Feb 24, 2014

Last updated

Feb 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derm Institute of West Michigan PLCGroup PAC ID 5092044487, 9 clinicians

Gray Derm PLLCGroup PAC ID 2163767278, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00097

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gray Derm PLLC

  dba Gray Derm LLC

  • Dermatology Physician
  • Lima, OH
  • NPI 1104392679

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Derm Institute of West Michigan PLC

  dba Derm Institute

  • Dermatology Physician
  • Caledonia, MI
  • NPI 1003460874

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Sami Abbasi DO PLLC

  dba Downriver Dermatology Center

  • Dermatology Physician
  • Brownstown TWP, MI
  • NPI 1497079230

  Multi-Specialty

  Medicare reassignment NPD
• Community and Rural Health Services

  • Rural Health Clinic/Center
  • Fremont, OH
  • NPI 1780683573
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732

  Multi-Specialty

  NPD (past)

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

• Mercy Health-St Ritas Medical Center LLC

  dba Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Lima, OH
  • NPI 1447276936
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  dba Mercy Health-St Rita's Medical Center

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1811939887
  Care Compare affiliation

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1831514025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST STE 300",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012967",
            "telephone_number": "419-229-6781",
            "fax_number": "614-386-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST STE 300",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012967",
            "telephone_number": "419-229-6781",
            "fax_number": "614-386-9506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Bellefontaine Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042881",
            "country_code": "US",
            "telephone_number": "419-998-8297",
            "fax_number": "419-226-8309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303900",
            "country_code": "US",
            "telephone_number": "740-206-7131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRYAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101021720",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.013501",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "34.013501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "5101021720",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH LICENSE",
            "identifier": "34.013501",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgray@grayderm.ezderm.info",
            "affiliation": "N",
            "endpointDescription": "Direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 N Eastown Rd Ste A",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458072268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheila Gottfried, LPN
• Tejas Gowda, DO
• Rachael Graham, ATC
• Kristen Diane Gravitt
• Gray Derm PLLC (Gray Derm LLC)
• Heather M Gray, DPM
• Danielle Green, MSW
• Emily Green
• Florence E Green, LPN
• Tyler Green

• Dermatology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.