Individual
ERIC JAY BRAY
Active
Individual
ERIC JAY BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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