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NPI Code Detail

MEDICARE: WILLIAM H. BRAY MD

MEDICARE: WILLIAM H. BRAY MD
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
1207W00000XOphthalmology PhysicianMD00019964WA

Other Identifiers

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

General Provider Information

NPI Number : 1700888435
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM H. BRAY MD
Provider Business Mailing Address
First Line : 4801 E LINWOOD BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128-2226
Country : US
Telephone Number : 816-861-4700
Fax Number :
Provider Business Practice Location Address
First Line : 4801 E LINWOOD BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128-2226
Country : US
Telephone Number : 816-861-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 07/05/2017

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