MEDICARE: JAMES D. BRAY DPM

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	213E00000X	Podiatrist

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	:	1518016278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES D. BRAY DPM

Provider Business Mailing Address
First Line	:	PO BOX 3012
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19804-0012
Country	:	US
Telephone Number	:	302-369-9900
Fax Number	:	302-369-9989

Provider Business Practice Location Address
First Line	:	324 E MAIN ST
Second Line	:	SUITE 201
City	:	NEWARK
State	:	DE
Zip	:	19711-7150
Country	:	US
Telephone Number	:	302-369-9900
Fax Number	:	302-369-9989

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES D BRAY
Credential	:	DPM
Telephone Number	:	302-369-9900

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	10/11/2011

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