James Bradley Ray, MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

01046774A Issued in IN

Legal business name

JAMES BRADLEY RAY, MD PC

Practice address

502 W 2ND St
Bloomington, IN 47403-2316

Phone

(812) 330-9962

Fax

(812) 330-9967

NPI assigned

Sep 19, 2007

Organization subpart

Yes

Parent organization

JAMES BRADLY RAY, MD PCAs reported in NPPES

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

Authorized official

Name

James Bradley Ray, MD

Title

President

Phone

(812) 330-9962

Specialties & licenses 1

Addresses

Part of

James Bradley Ray MD PC

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maika Marie Arthur, PSYD HSPP

  • Clinical Psychologist
  • Bloomington, IN
  • NPI 1831166115
  NPD (past)
• Roberta Lynn Delp, APRN-BC

  • Family Nurse Practitioner
  • Terre Haute, IN
  • NPI 1053429407
  NPD (past)
• Fadi Haddad, MD

  • Surgery Physician
  • Bloomington, IN
  • NPI 1932194511
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1972799427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032316",
            "telephone_number": "812-330-9962",
            "fax_number": "812-330-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032316",
            "telephone_number": "812-330-9962",
            "fax_number": "812-330-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BRADLEY RAY, MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES BRADLY RAY, MD PC",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-330-9962",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "01046774A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manish Jain, MD
• Pravi Jain, RBT
• Sanya Jaiswal
• Nicole Jakubowicz, PT, DPT
• James Bradley Ray MD PC
• James D Baugh
• James N.Topolgus MD Surgical Associates Inc
• Eleanor James
• Shannon Marie Janneck, PA-C
• Rayanne Janota

• Medical Specialty Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.