Active NPI
Eric Jay Bray, MD
- Anesthesiology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 57081
- Practice address
- 110 29TH Ave N Ste 202
Nashville, TN 37203-1448 - Phone
- (615) 327-4304
- Fax
- (615) 327-7940
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD.26124 | AL | |
| Anesthesiology Physician | 207L00000X | 57081 | TN | Primary |
Addresses
Primary practice location
110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Mailing address
110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Phone (615) 327-4304
Other practice location 1
1912 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2230
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7148637 | Other | AETNA | |
| R00156942 | Other | TRAVELERS MEDICARE | |
| 23898 | Medicaid | AL | |
| 631003288 | Other | CHAMPUS CLAIMS CENTER | |
| CB0222 | Other | TRAVELERS MEDICARE | |
| 631003288 | Other | CHAMPUS VA | |
| 748637 | Other | AETNA US HEALTHCARE | |
| 631003288 | Other | TRICARE | |
| 051523898 | Other | BCBS | |
| 7148637 | Other | AETNA INS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone (888) 829-0068
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.26124 | AL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keller Anesthesia Services | Anesthesiology | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Sheffield, AL
- NPI 1356064844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sheffield, AL
- NPI 1508952235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1871577171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 29TH AVE N STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
}
],
"practiceLocations": [
{
"address_1": "1912 Al Highway 157",
"address_purpose": "LOCATION",
"city": "Cullman",
"state": "AL",
"postal_code": "350580609",
"country_code": "US",
"telephone_number": "256-737-2230",
"fax_number": "256-734-6257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAY",
"first_name": "ERIC",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "MD.26124",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "57081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7148637",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "R00156942",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23898",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS CLAIMS CENTER",
"identifier": "631003288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "CB0222",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS VA",
"identifier": "631003288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "748637",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "631003288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051523898",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "7148637",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.