Individual
TIMOTHY JAMES BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 788-5261
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5565
NV
207X00000X
Orthopaedic Surgery Physician
A030821
CA
207XX0801X
Orthopaedic Trauma Physician
Primary
5565
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11050661
CAQH
—
05
—
20-16657
—
NV
01
—
XPY075190
MEDI-CAL PIN
CA
Enumeration date
11/08/2005
Last updated
12/20/2021
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