Individual
BRADFORD CLAYTON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 FRIENDSHIP ST BLDG SUITE240, NEWPORT, RI 02840-2272
(401) 619-3930
(401) 845-1075
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD14900
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101991
—
MA
05
—
1003896986
—
RI
01
—
205717
CONNECTICARE
MA
01
—
J22582
BLUE SHIELD
MA
Enumeration date
01/18/2006
Last updated
01/29/2020
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