MEDICARE: DR. PATRICIA ANNE BRAY MD, MPH

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	2083X0100X	Occupational Medicine Physician	D0041196	MD

General Provider Information

NPI Number	:	1104926252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA ANNE BRAY MD, MPH

Provider Business Mailing Address
First Line	:	45501 BARINGER DR
Second Line	:
City	:	CALIFORNIA
State	:	MD
Zip	:	20619-3285
Country	:	US
Telephone Number	:	202-693-2005
Fax Number	:	202-693-1647

Provider Business Practice Location Address
First Line	:	200 CONSTITUTION AVENUE NW
Second Line	:	OSHA-DEPARTMENT OF LABOR ROOM N3457
City	:	WASHINGTON
State	:	DC
Zip	:	20210-0001
Country	:	US
Telephone Number	:	202-693-2005
Fax Number	:	202-693-1647

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/23/2008

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