Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYLAN BRAY, AA
Active Sole ProprietorDYLAN BRAY, AA is a Anesthesiologist Assistant healthcare provider located in BROOKFIELD, Wisconsin. NPI 1790135457 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · BROOKFIELD, WI
Registration Details
- NPI Number
- 1790135457
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2016 (10.133980126787 yrs)
- Last Updated
- Jun 7, 2023
- Licenses
-
82-17 (WI)ANT.0000131 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
225 S EXECUTIVE DRBROOKFIELD, WI, 530054257Browse WI providers · Browse ZIP 53005
- Phone
- 6087700908
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
- Additional Specialty
- Anesthesiologist Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.