NPI Registry.org

Bradley Thomas Gray

NPI Registration Record

Provider / OrganizationNPIDate Certified
BRADLEY THOMAS GRAY16599489742021-06-06

Bradley Thomas Gray is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659948974. Registration indicates Bradley Thomas Gray is a provider of services with a specialization in Nursing Service Providers, Licensed Practical Nurse (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers)

Entity TypeIndividual
Provider Name Bradley Thomas Gray LPN
Practice Office Address11114 ALMOND DR
GREY EAGLE, MN US
Practice Office Telephone6054137349
Mailing AddressPO BOX 156
GREY EAGLE, MN 563360156 US
Business Telephone5074754354
HPT Codes
CodePractice
License No
State
164W00000X PRIMARY
Nursing Service Providers
Licensed Practical Nurse
Licensed Practical Nurse

Licensed Practical Nurse
Nursing Service Providers
763648
MN
OPI Codes

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