Individual
ERIC JAY BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
57081
TN
207L00000X
Anesthesiology Physician
MD.26124
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051523898
BCBS
—
05
—
23898
—
AL
01
—
631003288
CHAMPUS CLAIMS CENTER
—
01
—
7148637
AETNA
—
01
—
748637
AETNA US HEALTHCARE
—
01
—
CB0222
TRAVELERS MEDICARE
—
01
—
R00156942
TRAVELERS MEDICARE
—
Enumeration date
12/01/2005
Last updated
03/29/2018
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