Andrew Thomas Bray, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3510 Issued in KY

Practice address

638 E College Ave Ste B
Stanton, KY 40380-2363

Phone

(606) 318-3500

Fax

(606) 318-3503

NPI assigned

May 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montgomery Family Care LLCGroup PAC ID 5890101471, 12 clinicians

Community Family Clinic PLLCGroup PAC ID 7214940790, 14 clinicians

Casa San Pio Clinics of Appalachia LLCGroup PAC ID 2668639485, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064
• St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Casa San Pio Clinics of Appalachia, LLC

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1982976700
  Medicare reassignment Care Compare group NPD
• Community Family Clinic PLLC

  • Rural Health Clinic/Center
  • Frenchburg, KY
  • NPI 1427082338
  Medicare reassignment Care Compare group
• Montgomery Family Care LLC

  • Rural Health Clinic/Center
  • Mount Sterling, KY
  • NPI 1659961431
  Medicare reassignment Care Compare group
• Community Family Clinic PLLC

  • Rural Health Clinic/Center
  • Owingsville, KY
  • NPI 1518302892
  NPD
• Community Family Clinic PLLC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1598963910
  NPD

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

• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Mt Sterling, KY
  • NPI 1679679146
  Care Compare affiliation
• St Claire Medical Center Inc

  • Surgery Physician
  • Morehead, KY
  • NPI 1053465666

  Hospital

  Care Compare affiliation
• St Claire Medical Center Inc

  • General Acute Care Hospital
  • Morehead, KY
  • NPI 1124078696
  Care Compare affiliation
• St Claire Medical Center, Inc

  • Clinic/Center
  • Morehead, KY
  • NPI 1689012775

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1831948041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 E COLLEGE AVE STE B",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802363",
            "telephone_number": "606-318-3500",
            "fax_number": "606-318-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 E COLLEGE AVE STE B",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802363",
            "telephone_number": "606-318-3500",
            "fax_number": "606-318-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101029280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Billiter, OT
• J'Rie Blackwell-Elliott, TCM
• Haley Bloom, APRN
• Rebekah Boone
• Courtney Alexis Bowling, SLP
• Brenda Gail Brewer, R.PH.
• Geneivive Brewer, LCSW
• Deana Cheryl Brooks, PT
• Troy David Brooks, P.A.
• Heather Leigh Burchett, PT

• Physician Assistant in Stanton, KY
• Providers in Stanton, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.