MRS. CARLA H BRAY NP-C NPI 1336471515

NPI Information

NPI: 1336471515
Provider Name: MRS. CARLA H BRAY, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
121 PRATT DR
SUITE 1 A
CORINTH, MS
ZIP 38834
Phone: (662) 286-0088
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MRS. Carla H Bray, NP-C is a family nurse practitioner in Corinth, MS with 15 years of experience. MRS. Carla H Bray, NP-C NPI is 1336471515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

121 PRATT DR
SUITE 1 A
CORINTH, MS
ZIP 38834-026
Phone: (662) 286-0088
Fax: (662) 286-0067

The NPI 1336471515 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 2/12/2010 and was last updated on 9/7/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R865725	MISSISSIPPI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30250I3583	OTHER	MISSISSIPPI	MEDICARE
2	302I507733	OTHER	MISSISSIPPI	MEDICARE
3	05539595	MEDICAID	MISSISSIPPI
4	P00846492	OTHER	MISSISSIPPI	RAILROAD MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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