ANGELA B BRAY (NPI# 1558346213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558346213 |
| Entity Type | Individual |
| Full Name | ANGELA B BRAY |
| Credential | PA-C |
| Practice Address |
8596 Orange Avenue Pensacola FL 32534 |
| Mailing Address |
1055 Candlewood Circle Pensacola FL 32514-0000 |
| Practice Telephone | 8505491387 |
| Mailing Telephone | 8505491387 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2013-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-377 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102817 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 59177261 | 01 |
| FL | 291980000 | 05 | |
| AL | 891009260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699978 | Angela Nicole Bray | Pharmacist | 1530 Celebration Blvd Ste 100, Kissimmee, FL 34747-5165 | 2020-08-12 |
| Street Address |
8596 ORANGE AVENUE |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981504 | Nf Nine Mile, LLC | Skilled Nursing Facility | 9310 Fowler Avenue, Pensacola, FL 32534 | 2019-06-18 |
| 1003207630 | Lenora Diann Wesley | Custodial Care Facility | 7840 Herrington Drive, Pensacola, FL 32534 | 2015-02-18 |
| 1336553759 | Charlotte Creahan | Pharmacist | 8814 C Palafox Hwy, Ensley Pharmacy, Penscola, FL 32534 | 2014-06-13 |
| 1801166368 | Neetin Patel | Pharmacist | 20 West Nine Mile Rd, Pensacola, FL 32534 | 2011-12-30 |
| 1891760377 | Adrian Laertes Goram | Pharmacist | 2237 W 9 Mile Rd, Walgreens Store 10181, Pensacola, FL 32534 | 2006-02-20 |
| 1689669285 | Lori Lynn Everett | Dentist | 307 Boatner Road Suite 114, Eglin Afb, FL 32534 | 2005-09-20 |
| 1043565781 | Nada Samir Ilia | Dentist | 8390 N Palafox St, Promed Dental Clinic, Pensacola, FL 32534 | 2012-07-18 |
| 1770591968 | Steven L Jackson, Inc | Pharmacist | 2256 W Nine Mile Rd, Pensacola, FL 32534 | 2006-08-03 |
| 1255351847 | Ashley W Plummer | Specialist/Technologist | 1316 Jasper Street, Pensacola, FL 32534-0423 | 2006-07-19 |
| 1275148900 | Michelle Mackin | Social Worker | 8631 Messick St, Pensacola, FL 32534-1016 | 2020-09-10 |
| Find all providers in zip 32534 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558716811 | Physician Associates of The Palm Beaches | Physician Assistant | 49 Skystone Ct, Pensacola, FL 32506-6842 | 2016-04-24 |
| 1548690936 | Pensacola House Calls,llc | Physician Assistant | 5040 Yesteroaks Cir, Pensacola, FL 32504-4316 | 2013-11-21 |
| 1508146796 | Whitney Cronenberg Hunter | Physician Assistant | 545 Brent Lane, Pensacola, FL 32503 | 2011-08-19 |
| 1326244146 | Jessica Aurelio Samson | Physician Assistant | 8141 Westbourne Dr, Pensacola, FL 32506-4959 | 2007-06-27 |
| 1437204948 | Jessie Enrique Gross | Physician Assistant | 220 Hovey Rd Fl 1047, Pensacola, FL 32508-1047 | 2007-01-24 |
| 1689760894 | Mamie Yuk-ming Wu | Physician Assistant | 4511 N Davis Hwy Ste C-1, Pensacola, FL 32503-2734 | 2006-10-05 |
| 1437138344 | Daniel Carl Brunner | Physician Assistant | 9400 University Pkwy Ste 401a, Pensacola, FL 32514-5485 | 2006-01-10 |
| 1225635329 | Adam James Crowson | Physician Assistant | 5115 N Palafox St, Pensacola, FL 32505-2932 | 2020-10-02 |
| 1992320881 | Access To Care, P.a. | Physician Assistant | 1010 N 12th Ave Ste 125, Pensacola, FL 32501-3315 | 2020-06-16 |
| 1689149692 | Amanda Herron | Physician Assistant | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2018-10-05 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.