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BRUCE HARVEY GRAY D.O. NPI 1023066495


NPI Information

NPI: 1023066495
Provider Name: BRUCE HARVEY GRAY, D.O.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 PATEWOOD DR
SUITE C300
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-8272
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Bruce Harvey Gray, D.O. is an internal medicine in Greenville, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Bruce Harvey Gray, D.O. NPI is 1023066495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 PATEWOOD DR
SUITE C300
GREENVILLE, SC
ZIP 29615-557
Phone: (864) 454-8272
Fax: (864) 454-2875

The NPI 1023066495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 10/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine606SOUTH CAROLINAYes
22086S0129XSurgeryVascular Surgery0606SOUTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14466189OTHERSOUTH CAROLINAAETNA
2T00237MEDICAIDSOUTH CAROLINA
3110218125OTHERSOUTH CAROLINARR MEDICARE
4576007863093OTHERSOUTH CAROLINABLUE CHOICE OF SC
51864198OTHERSOUTH CAROLINACIGNA
6576007863071OTHERRHODE ISLANDBCBS OF SC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.