MEDICARE: DR. PAUL FRANCIS BRAY

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	207RH0000X	Hematology (Internal Medicine) Physician	F3052	TX
2	207RH0000X	Hematology (Internal Medicine) Physician	MD430294	PA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144333097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL FRANCIS BRAY

Provider Business Mailing Address
First Line	:	1015 CHESTNUT STREET
Second Line	:	SUITE 1321
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4310
Country	:	US
Telephone Number	:	215-955-4730
Fax Number	:	215-503-9188

Provider Business Practice Location Address
First Line	:	1015 CHESTNUT STREET
Second Line	:	SUITE 1321
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4310
Country	:	US
Telephone Number	:	215-955-4730
Fax Number	:	215-503-9188

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	03/25/2015

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Directions to “ DR. PAUL FRANCIS BRAY ” Practice Location

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