Adam Wray, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

O-0444 Issued in ID

Practice address

1355 Parkway Dr Ste a
Blackfoot, ID 83221-1656

Phone

(986) 275-0003

Fax

(986) 275-0005

NPI assigned

Jan 25, 2007

Last updated

May 6, 2026By the provider in NPPES

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 6

Medicare fee-for-service enrollment

Enrolled in ID, AZ2 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 2

Specialty

Dermatology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wray DermatologyGroup PAC ID 8921541277, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adamwray@bmh.medalliesdirect.net

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.

• Wray Dermatology

  • Dermatology Physician
  • Blackfoot, ID
  • NPI 1457110298
  Medicare reassignment Care Compare group NPD Authorized official
• BMH, Inc.

  dba Bingham Memorial Physicians & Surgeons Center

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1255539193
  Medicare reassignment NPD
• HW Dermatology PLLC

  dba Sunrise Dermatology

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1750800033
  Medicare reassignment NPD
• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  NPD
• BMH, Inc.

  dba 1st Choice Urgent Care & Medical Center-Chubbuck

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1295502995
  NPD
• BMH, Inc.

  dba Bingham Memorial Specialty Clinic - Poplar

  • Nephrology Physician
  • Blackfoot, ID
  • NPI 1801336276
  NPD
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Kirksville, MO
  • NPI 1437109527
  NPD (past)

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

• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  Care Compare affiliation

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1902952930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 PARKWAY DR STE A",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211656",
            "telephone_number": "986-275-0003",
            "fax_number": "986-275-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 PARKWAY DR STE A",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211656",
            "telephone_number": "986-275-0003",
            "fax_number": "986-275-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S 11th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832014879",
            "country_code": "US",
            "telephone_number": "986-275-0003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRAY",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "O-0444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807719000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "315520",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS POC",
            "identifier": "S6117",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLKFT",
            "identifier": "S6116",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD BLKFT",
            "identifier": "000010163015",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD POC",
            "identifier": "000010163016",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharee Julett Wolfley
• David Woodbury, PA
• Meghan L Woolstenhulme
• Jared Worthington, DDS
• Wray Dermatology
• Amanda Wray, RPH
• Lee Brock Wren, OD
• Shawn A Wren, CRNA
• Barbara Pancoast Young, LCSW
• Sandee K Young, LCSW

• Dermatology Physician in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.