ANTHONY BRAY AGACNP
NPI 1013387778
Nurse Practitioner - Gerontology in Minnetonka, MN

Q: What is Anthony Bray's NPI number?

The NPI number for Anthony Bray is 1013387778. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Q: What is Anthony Bray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Bray was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2015PECOS Enrolled

9900 BREN RD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343(478) 538-0908 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Anthony Bray Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY BRAY AGACNP (NPI 1013387778) is an individual gerontology provider in Minnetonka, Minnesota, licensed in Arizona (AP7742) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1013387778

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameANTHONY BRAYCredential: AGACNP

Location Address9900 BREN RD EAST, MAIL ROUTE MN 008-B213Minnetonka, MN 55343

Mailing Address3896 S Star Canyon DrGilbert, AZ 85297-3519 · (480) 710-4174

Phone(478) 538-0908

Sole ProprietorNo

Enumeration DateOctober 6, 2015

Last NPPES UpdateJuly 2, 2020

NPPES CertifiedJuly 2, 2020

✔ NPI 1013387778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AZ · AP7742

9900 BREN RD EAST, Minnetonka, MN 55343

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Secondary Practice Location 1

Location 13030 N Central AvePhoenix, AZ 85012-2707 · Phone (602) 406-8983

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Bray Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA GRIPPER GNP

Nurse Practitioner (Gerontology)