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PHILLIP BRAY DO
NPI 1053947515
Psychiatry & Neurology - Addiction Psychiatry in Tripler Army Medical Center, HI

Active since March 17, 2020PECOS Enrolled
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-4034 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Mar 3, 2025, Mar 8, 2022 and 1 more (4 updates tracked since 2020).

About Phillip Bray Do NPPES

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

PHILLIP BRAY DO (NPI 1053947515) is an individual addiction psychiatry provider in Tripler Army Medical Center, Hawaii, licensed in Wisconsin (77673-21) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2020).

NPPES Registry Identity

NPI1053947515
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NamePHILLIP BRAYCredential: DO
Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001
Mailing Address1 Jarrett White RdTripler Army Medical Center, HI 96859-5001 · (808) 433-4034
Phone(808) 433-4034
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2020
Enumeration DateMarch 17, 2020
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1053947515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in WI · 77673-21
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 77673-21 (WI)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License OP61512333 (WA)
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4981044815
PECOS Enrollment IDI20251114003720
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.

Other Providers at the Same Location NPPES 20

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

CORINNE REYES LCSW
Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8785
DANIEL HEILMANN DO
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6697
MR. ADRIAN SCOTT WORTHEN M.D.
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 433-4049
DR. JANE ELIZABETH MARSHALL OTD, OTR/L
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (937) 231-3795
TINA WILSON DO
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (210) 220-7961
MRS. LASHON SHEREMA WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8601
DR. NICHOLAS PATRICK MAHER DO
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (888) 683-2778
DR. KIMBERLY D DAVIS MD
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 471-9998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Bray's NPI number?

The NPI number for Phillip Bray is 1053947515. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Phillip Bray located?

Phillip Bray practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-4034.

What is Phillip Bray's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Phillip Bray enrolled in Medicare?

Yes. Phillip Bray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Bray was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.