PHILLIP BRAY DO
NPI 1053947515
Psychiatry & Neurology - Addiction Psychiatry in Tripler Army Medical Center, HI
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Phillip Bray Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Phillip Bray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Crandon, WI 54520
- Reassigned Medicare billing, Wisconsin enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER ARMY MEDICAL CENTER, HI 96859
TRIPLER AMC, HI 96859
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Phillip Bray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Bray reassigns Medicare benefits to Forest County Potawatomi Community (Crandon, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Bray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Bray accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Phillip Bray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 10 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.
# Phillip Bray, DO · NPI 1053947515
Addiction Psychiatry physician in Tripler Army Medical Center, Hawaii. Individual provider, active in the CMS NPPES registry since March 17, 2020.
## Identity
- **NPI:** 1053947515 (Entity type: Individual)
- **Enumerated:** March 17, 2020
- **Primary specialty:** Psychiatry & Neurology - Addiction Psychiatry · taxonomy 2084P0802X
- **State license:** 77673-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859-5001
- **Phone:** (808) 433-4034
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Forest County Potawatomi Community (NPI 1285741306, Crandon, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2020
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053947515) · Data from the CMS NPPES public registry.