Physician Compare National (NPI:1619085362)

HEALTHCARE PROVIDER: BRETT C GRAY DMD MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1619085362
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709923873
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110414000356
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRAY
	Individual professional last name
Provider First Name	BRETT
	Individual professional first name
Provider Middle Name	C.
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EMORY UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ORAL SURGERY ASSOCIATES AND DENTAL IMPLANT CENTER PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9537154968
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1463 KLONDIKE SWRD
	Group Practice or individual's line 1 address
Line 2 Street Address	C
	Group Practice or individual's line 2 address
City	CONYERS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300945127
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7704839692
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y