SHELLY C BRAY M.D. NPI 1902824162

NPI Information

  • NPI: 1902824162
  • Provider Name: SHELLY C BRAY, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 303 PROFESSIONAL PARK DR
    ARKADELPHIA, AR
    ZIP 71923
  • Phone: (870) 464-1515

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NPI Details

Shelly C Bray, M.D. is a family medicine in Arkadelphia, AR with 23 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shelly C Bray, M.D. NPI is 1902824162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923-317
Phone: (870) 464-1515
Fax: (870) 464-1514

The NPI 1902824162 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Psychotherapy, 1 hour (HCPCS:90837)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Removal of impacted ear wax (HCPCS:69210)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Assessment of emotional or behavioral problems (HCPCS:96127)

The enumeration date for this NPI number is 7/17/2006 and was last updated on 1/24/2020.

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
1207Q00000XFamily MedicineE-4195ARKANSASYes

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
1155215001MEDICAIDARKANSAS
2762691OTHERARKANSASHEALTHLINK
306080018100OTHERARKANSASQUALCHOICE
47373851OTHERARKANSASAETNA

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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