Individual
BRYAN MATTHEW GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 EASTERN AVE, BALTIMORE, MD 21224-2772
(410) 814-4500
Mailing address
4014 PENNY LN, CHESAPEAKE, VA 23322-2010
(757) 636-5978
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004415
VA
363A00000X
Physician Assistant
7760-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268313
—
WI
Enumeration date
12/05/2013
Last updated
10/27/2025
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