Provider Demographics
NPI:1871577171
Name:BRAY, ERIC JAY (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:JAY
Last Name:BRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 29TH AVE N STE 202
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1448
Mailing Address - Country:US
Mailing Address - Phone:615-327-4304
Mailing Address - Fax:615-327-7940
Practice Address - Street 1:110 29TH AVE N STE 202
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1448
Practice Address - Country:US
Practice Address - Phone:615-327-4304
Practice Address - Fax:615-327-7940
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.26124207L00000X
TN57081207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7148637OtherAETNA
R00156942OtherTRAVELERS MEDICARE
AL23898Medicaid
631003288OtherCHAMPUS CLAIMS CENTER
CB0222OtherTRAVELERS MEDICARE
631003288OtherCHAMPUS VA
748637OtherAETNA US HEALTHCARE
631003288OtherTRICARE
051523898OtherBCBS
7148637OtherAETNA INS
631003288OtherCHAMPUS VA
631003288OtherCHAMPUS CLAIMS CENTER