DR. ALAN JAMES GRAY MD NPI 1831651447

NPI Information

  • NPI: 1831651447
  • Provider Name: DR. ALAN JAMES GRAY, MD
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 868 E RIVERSIDE DR STE 170
    EAGLE, ID
    ZIP 83616
  • Phone: (208) 918-2416

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NPI Details

DR. Alan James Gray, MD is a facial plastic surgery otolaryngology in Eagle, ID with 6 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Alan James Gray, MD NPI is 1831651447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

868 E RIVERSIDE DR STE 170
EAGLE, ID
ZIP 83616-025
Phone: (208) 918-2416
Fax: (208) 203-8644

The NPI 1831651447 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 4/2/2019 and was last updated on 11/3/2025.

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
1207YS0123XOtolaryngologyFacial Plastic Surgery3271959IDAHOYes

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: 11/21/2025

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