Alan James Gray, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

3271959 Issued in ID

Practice address

868 E Riverside Dr Ste 170
Eagle, ID 83616-6025

Phone

(208) 918-2416

Fax

(208) 203-8644

NPI assigned

Apr 2, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Plastic and Reconstructive SurgeryAlso: Otolaryngology

Education

University of Washington School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Gray Facial Plastic Surgery

  • Facial Plastic Surgery Physician
  • Boise, ID
  • NPI 1104638451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1831651447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 E RIVERSIDE DR STE 170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166025",
            "telephone_number": "208-918-2416",
            "fax_number": "208-203-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 E RIVERSIDE DR STE 170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166025",
            "telephone_number": "208-918-2416",
            "fax_number": "208-203-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "ID",
            "license": "3271959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@grayfacialplastics.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "868 E Riverside Dr Ste 170",
            "city": "Eagle",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836166025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Wenle Gottenberg, LPC
• Nicholas Grable, DC
• Sarah Jo Graham, MPT
• Grange Ophthalmology, PLLC (Grange Eye Care)
• Grange Surgery Center PLLC
• Katie Gray, M.S.
• Sariah Gray
• Alexandria Cavaretta Green, APRN-CNP
• Kari Green, PT
• Ella Greenberg

• Facial Plastic Surgery Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Facial Plastic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.