Individual provider Active NPI

Jeffrey F Bray, MD

  • Obstetrics & Gynecology Physician
  • Tooele, UT
National Provider Identifier
1881670347
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14196420-1235 Issued in UT
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1881670347MedicaidWA
1881670347MedicaidUT
1881670347MedicaidNV
8276693MedicaidWA
0158640OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WY, UT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100823000860 WA Practitioner - Obstetrics/Gynecology 2163556457 Reassigns benefits to 1 organization
I20220207000380 WY Practitioner - Obstetrics/Gynecology 2163556457 Reassigns benefits to 1 organization
I20250211000435 UT Practitioner - Obstetrics/Gynecology 2163556457 Reassigns benefits to 2 organizations

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
Tooele Clinic CorpGroup PAC ID 6800700873, 63 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
14196420-1235UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Clinic Corp Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
Tooele Clinic Corp Obstetrics & Gynecology CurrentSince Feb 12, 2025 Accepting new patients
King County Public Hospital District No. 2 CurrentSince May 6, 2015 Accepting new patients
King County Public Hospital District No. 2 CurrentSince May 6, 2015 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

  • Direct secure messaging: jbray01@yourcarecommunity.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.