J. Brian Gray in Jonesboro - Pediatrics

J. Brian Gray - NPI 1750397675

J. Brian Gray is a Pediatrics in Jonesboro, Arkansas. J. Brian Gray practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for J. Brian Gray is 1750397675. The last update date is 2008-03-13.

J. Brian Gray's current location address is 114 E Oak Ave, Jonesboro, Arkansas. You can contact this provider via phone number 8709355454 and fax number 8709352643. The mailing address for J. Brian Gray is 114 E Oak Ave, Jonesboro, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name J. Brian Gray
Address 114 E Oak Ave, Jonesboro, Arkansas
Phone Number 8709355454
Fax Number 8709352643
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1750397675
Provider Enumeration Date 2006-07-31
Last Updated Date 2008-03-13

Provider Mailing Address Detail

Address 114 E Oak Ave
City Jonesboro
State Arkansas (AR)
Post Code 724013561
Phone Number 8709355454
Fax Number 8709352643

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 2414
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
48741 AR INDIVIDUAL BCBS
149197722 AR --
42186 AR DAVIS VISION
431961530 AR VISION SERVICE PLAN (VSP)
431961530 AR VBA
123724722 AR --
431961530 AR VCA
12189 AR SPECTERA
207398 AR EYEMED
4596720001 AR PALMETTO GBA

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FAQs about J. Brian Gray

What is the unique 10-digit identification code issued to J. Brian Gray by the Centers for Medicare & Medicaid Services?

The J. Brian Gray has been assigned the NPI (National Provider Identifier) 1750397675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where J. Brian Gray is physically located?

The J. Brian Gray is physically situated at the following address: 114 E Oak Ave, Jonesboro, AR, 724013561.

What is J. Brian Gray's specialized field of practice, and what is the corresponding taxonomy classification code?

The J. Brian Gray's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 152Wp0200X.

On what date did the J. Brian Gray receive its 1750397675 assignment from the Centers for Medicare & Medicaid Services?

The J. Brian Gray was assigned its 1750397675 by the Centers for Medicare & Medicaid Services on 2006-07-31.

As of what date were the J. Brian Gray's details last updated?

The information pertaining to the J. Brian Gray, including its address, specialty, and other details, was most recently updated on 2008-03-13.

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