Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY WAYNE GRAY, M.D.
Active Sole ProprietorDR. BRADLEY WAYNE GRAY, M.D. is a Family Medicine healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1851785976 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1851785976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2015 (11.203908128173 yrs)
- Last Updated
- Aug 6, 2020
- Licenses
-
E-10753 (AR)E-10753 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2170 SOUTH AVESOUTH LAKE TAHOE, CA, 961507026Browse CA providers · Browse ZIP 96150
- Phone
- 5305413420
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY WALTER BERGNER | MD | 1851398671 |
| DR. RICHARD DAVID BOTTO | MD | 1861499709 |
| DR. BROOKS MARTIN | MD | 1205834306 |
| DR. HENNING MEHRENS | MD | 1780682955 |
| DR. PAUL WILLIAM RORK | MD | 1225036445 |
| ALLISON LEACH MONROE | MD | 1821098518 |
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.