MEDICARE: DR. CHRISTOPHER LAWRENCE BRAY MD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME107284	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740487271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LAWRENCE BRAY MD PHD

Provider Business Mailing Address
First Line	:	9200 NW 39TH AVE STE 130-3317
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-7331
Country	:	US
Telephone Number	:	352-441-9110
Fax Number	:	352-441-9114

Provider Business Practice Location Address
First Line	:	9200 NW 39TH AVE STE 130-3317
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-7331
Country	:	US
Telephone Number	:	352-441-9110
Fax Number	:	352-441-9114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	05/23/2025

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