Active NPI
Jeffrey F Bray, MD
- Obstetrics & Gynecology Physician
- Tooele, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 14196420-1235
- Practice address
- 196 E 2000 N Ste 101
Tooele, UT 84074-9335 - Phone
- (435) 843-3678
- NPI assigned
- Dec 16, 2005
- Last updated
- Apr 2, 2025
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00039850 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | 14196420-1235 | UT | Primary |
Addresses
Primary practice location
196 E 2000 N Ste 101
Tooele, UT 84074-9335
Mailing address
6808 162ND PL SW
Edmonds, WA 98026-4916
Phone (800) 967-2299
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881670347 | Medicaid | WA | |
| 1881670347 | Medicaid | UT | |
| 1881670347 | Medicaid | NV | |
| 8276693 | Medicaid | WA | |
| 0158640 | Other | WA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, WY, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
196 E 2000
Suite 101
Tooele, UT 84074-9335
Phone (435) 843-7181
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.25 of 100
- Quality
- 67.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14196420-1235 | UT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evanston Clinic Corp | Obstetrics & Gynecology | Current | Accepting new patients |
| Tooele Clinic Corp | Obstetrics & Gynecology | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Seattle Nuclear Medicine-Ultrasound Associates | Past | Accepting new patients | |
| Valley Obstetrics and Gynecology, P.C. | Past | Accepting new patients | |
| Valley Obstetrics and Gynecology, PC | Obstetrics & Gynecology | Past | Accepting new patients |
| Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
196 E 2000 N
Ste 101
Tooele, UT 84074
Phone (435) 843-3678
2321 N 400 E
Ste 300
Tooele, UT 84074
Phone (435) 833-9180
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
150 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 789-5080
196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143
Interoperability endpoints
- jbray01@yourcarecommunity.org
- jeffrey.bray.1@1562.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Obstetrics & Gynecology Physician
- American Fork, UT
- NPI 1588863377
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth In-Home Behavioral Health Services
- Community/Behavioral Health Agency
- Kirkland, WA
- NPI 1538213327
-
dba Valley Central Lab
- Clinical Medical Laboratory
- Provo, UT
- NPI 1346718764
-
dba Valley Women's Behavioral Health
- Obstetrics & Gynecology Physician
- Provo, UT
- NPI 1992279392
-
- Obstetrics & Gynecology Physician
- Provo, UT
- NPI 1699977496
-
- Radiology Clinic/Center
- Seattle, WA
- NPI 1265506349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1881670347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6808 162ND PL SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980264916",
"telephone_number": "800-967-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 E 2000 N STE 101",
"city": "TOOELE",
"state": "UT",
"postal_code": "840749335",
"telephone_number": "435-843-3678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "JEFFREY",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00039850",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": "14196420-1235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881670347",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881670347",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881670347",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8276693",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0158640",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.