Brian Wallace Gray in Indianapolis - Surgery
Brian Wallace Gray - NPI 1770791378
Brian Wallace Gray is a Surgery in Indianapolis, Indiana. Brian Wallace Gray practices all healthcare services and medical treatments related to Surgery. The NPI Number for Brian Wallace Gray is 1770791378. The last update date is 2021-10-14.
Brian Wallace Gray's current location address is 705 Riley Hospital Dr Rm 2500, Indianapolis, Indiana. You can contact this provider via phone number 3174391949 and fax number 3172744603. The mailing address for Brian Wallace Gray is 705 Riley Hospital Dr Rm 2500, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Wallace Gray |
|---|---|
| Address | 705 Riley Hospital Dr Rm 2500, Indianapolis, Indiana |
| Phone Number | 3174391949 |
| Fax Number | 3172744603 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770791378 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2021-10-14 |
Provider Mailing Address Detail
| Address | 705 Riley Hospital Dr Rm 2500 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462025109 |
| Phone Number | 3174391949 |
| Fax Number | 3172744603 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 01074108A |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201238800 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian Wallace Gray by the Centers for Medicare & Medicaid Services?
The Brian Wallace Gray has been assigned the NPI (National Provider Identifier) 1770791378. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brian Wallace Gray's facilities are situated?
The facilities of Brian Wallace Gray are physically located at the following address: 705 Riley Hospital Dr Rm 2500, Indianapolis, IN, 462025109.
What is the Brian Wallace Gray's specialty and taxonomy code?
The Brian Wallace Gray's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Brian Wallace Gray receive its 1770791378 assignment from the Centers for Medicare & Medicaid Services?
The Brian Wallace Gray was assigned its 1770791378 by the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the Brian Wallace Gray's information last updated?
The Brian Wallace Gray's information was last updated on 2021-10-14.
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