DR. PATRICK BRUCE GRAY (NPI# 1700966769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700966769 |
Entity Type | Individual |
Full Name | DR. PATRICK BRUCE GRAY |
Credential | MD |
Practice Address |
19056 Greenbush Road Parksley VA 23421 |
Mailing Address |
Po Box 453 Nassawadox VA 23413-0453 |
Practice Telephone | 7576651260 |
Practice Fax Number | 7576654184 |
Mailing Telephone | 7574423636 |
Mailing Fax Number | 7574422319 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101013691 | VA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659459030 | Patrick Leon Gray | Physician Assistant | 3550 Bunyan St, San Antonio, TX 78247-3105 | 2006-11-01 |
1568472132 | Patrick Hampton Gray | Obstetrics & Gynecology | 103 Hunt Drive, Dunn, NC 28334 | 2006-08-08 |
1225075559 | Patrick Anthony Gray | Internal Medicine | 20215 Nw 2nd Ave, Suite 1, Miami, FL 33169-2538 | 2006-06-02 |
1699281139 | Patrick Gray | Recreation Therapist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2017-12-20 |
1770002305 | Patrick Landon Gray | Behavioral Analyst | 12650 E Briarwood Ave Unit 207, Centennial, CO 80112-6792 | 2017-09-14 |
1881044600 | Patrick Gray | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-06-14 |
1497168413 | Patrick Lafayette Gray Jr. | Behavioral Analyst | 5420 W Sahara Ave Ste 103, Las Vegas, NV 89146-0389 | 2014-06-06 |
1558772079 | Patrick A Gray | Counselor | 5105 200th St Sw, Suite 100, Lynnwood, WA 98036-6397 | 2014-05-19 |
1861478778 | Patrick Keith Gray | Emergency Medicine | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 | 2005-12-22 |
1427040088 | Patrick M. Gray | Internal Medicine | 1599 Somerset Ave, Suite #1, Windber, PA 15963-0000 | 2005-08-19 |
Street Address |
19056 GREENBUSH ROAD |
City | PARKSLEY |
State | VA |
Zip Code | 23421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750382776 | Nicholas Mcclean-rice | Psychiatry & Neurology | 19056 Greenbush Road, 19056 Greenbush Road, Parksley, VA 23421-4632 | 2005-08-02 |
1316586225 | Paige Rew Mclean | Social Worker | 19056 Greenbush Road, Parksley, VA 23421 | 2019-12-26 |
1891210746 | Eastern Shore Community Services Board | Counselor | 19056 Greenbush Road, Eastern Shore Behavior Healthcare Center, Parksley, VA 23421-9998 | 2017-08-11 |
1275089930 | Susan Renee Johnson | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2016-08-31 |
1386018760 | Alicia Nicole Rose | Nurse Practitioner | 19056 Greenbush Road, Parksley, VA 23421 | 2015-11-22 |
1649609686 | Bevin Jo Jones | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2013-11-08 |
1063600344 | Virginia Ravizza | Counselor | 19056 Greenbush Road, Eastern Shore Behavioral Healthcare Ctr, Parksley, VA 23421-0000 | 2007-10-11 |
1194919928 | Sharon Parker | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2007-09-05 |
1720272552 | Scott Field | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2007-09-05 |
1871647578 | Deborah Linnell | Counselor | 19056 Greenbush Road, Parksley, VA 23421 | 2007-01-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255727715 | Nidya De La Torre | Dentist | 24501 Parksley Road, Parksley, VA 23421 | 2015-04-11 |
1467868877 | Monica Boole Layne | Nurse Practitioner | 17835 Lankford Highway, Parksley, VA 23421 | 2014-07-07 |
1174945489 | Shore Transport Services Inc. | Non-emergency Medical Transport (VAN) | 24076 Lee Mont Rd., Parksley, VA 23421 | 2014-01-07 |
1639300726 | Sasha Baier | Counselor | 19056 Greenbush Rd., Parksley, VA 23421 | 2009-08-06 |
1154411510 | Eastern Shore Community Mh Mr Sas Services Board | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2006-10-13 |
1699879312 | Tian Fei | Dentist | 24277 Cooke St, Parksley, VA 23421 | 2006-09-12 |
1295730265 | Runningers Pharmacy Inc | Pharmacy | 18465 Dunne Ave, Parksley, VA 23421 | 2005-06-16 |
1902439516 | Caitlin Ford | Social Worker | 19056 Greenbush Rd, Parksley, VA 23421 | 2020-02-21 |
1205493897 | Beverly Turner | Counselor | 18469 Dunne Ave, Parksley, VA 23421 | 2019-05-20 |
1366994360 | Lori Birch Graham | Counselor | 19056 Greenbush Rd, Parksley, VA 23421 | 2016-10-26 |
Find all providers in zip 23421 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
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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.