S. JEFF BRAY DPM INC. NPI 1669676276

NPI Information

NPI: 1669676276
Provider Name: S. JEFF BRAY, DPM, INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2240 E CENTER ST
POCATELLO, ID
ZIP 83201
Phone: (208) 233-2100
Get Directions

S. JEFF BRAY, DPM, INC. is a foot and ankle surgery podiatrist in Pocatello, ID. S. JEFF BRAY, DPM, INC. NPI is 1669676276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2240 E CENTER ST
POCATELLO, ID
ZIP 83201-600
Phone: (208) 233-2100
Fax: (208) 233-3146

The provider's authorized official is S Jeff Bray .
The authorized official title is President and has the following contact phone number (208) 233-2100.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 9/7/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	P157	IDAHO	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	000010034464	OTHER	IDAHO	BLUE SHIELD
2	DD9805	OTHER		RAILROAD MEDICARE
3	806125200	MEDICAID	IDAHO
4	P9364	OTHER	IDAHO	BLUE CROSS

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

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