| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRADLEY THOMAS GRAY | 1659948974 | 2021-06-06 |
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) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Bradley Thomas Gray RN |
| Practice Office Address | 11114 ALMOND DR GREY EAGLE, MN US |
| Practice Office Telephone | 6054137349 |
| Mailing Address | PO BOX 156 GREY EAGLE, MN 563360156 US |
| Business Telephone | 5074754354 |
| Code | Practice | License No State |
|---|---|---|
| 164W00000X | Nursing Service Providers Licensed Practical Nurse Licensed Practical Nurse Licensed Practical Nurse Nursing Service Providers | 763648
MN |
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 2493855
MN |