# BRUCE HARVEY GRAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023066495
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 606 | SC | Yes |
| 2086S0129X | Vascular Surgery Physician | 0606 | SC | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 10/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110218125 | RR MEDICARE | SC |
| 01 | — | 1864198 | CIGNA | SC |
| 01 | — | 4466189 | AETNA | SC |
| 01 | — | 576007863071 | BCBS OF SC | RI |
| 01 | — | 576007863093 | BLUE CHOICE OF SC | SC |
| 05 | — | T00237 | — | SC |