Active NPI
Garry Wayne Bray, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R567604
- Practice address
- 6025 Walnut Grove Rd
Suite 314
Memphis, TN 38120-2131 - Phone
- (901) 682-7665
- Fax
- (901) 767-8486
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R567604 | MS | Primary |
Addresses
Primary practice location
6025 Walnut Grove Rd
Suite 314
Memphis, TN 38120-2131
Mailing address
420 Cedar Hills Rd
Holly Springs, MS 38635-7511
Phone (662) 252-5733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R567604 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baptist Memorial Hospital Union County, Inc. | Current | Accepting new patients | |
| Anesthesia Services of Memphis, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979
Organizations & group practices 3
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
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- Certified Registered Nurse Anesthetist
- Cordova, TN
- NPI 1568571610
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962425926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 CEDAR HILLS RD",
"city": "HOLLY SPRINGS",
"state": "MS",
"postal_code": "386357511",
"telephone_number": "662-252-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 WALNUT GROVE RD",
"address_2": "SUITE 314",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202131",
"telephone_number": "901-682-7665",
"fax_number": "901-767-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "GARRY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R567604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.