MR. CHARLES DAVID BRAY FNP-BC
NPI 1083139935
Nurse Practitioner - Family in Kingsport, TN

Active since August 11, 2017PECOS EnrolledAccepts Medicare Assignment
130 W RAVINE RD STE 3A, KINGSPORT, TN 37660(423) 245-6101 Get Directions Write a Review

NPPES record last updated: February 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2025, Nov 27, 2017, Aug 11, 2017 (3 updates tracked since 2017).

About Mr. Charles David Bray Fnp-bc NPPES

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

MR. CHARLES DAVID BRAY FNP-BC (NPI 1083139935) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (23136) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083139935
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHARLES DAVID BRAYCredential: FNP-BC
Location Address130 W RAVINE RD STE 3AKingsport, TN 37660-3841
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 11, 2017
Last NPPES UpdateFebruary 22, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2025
NPI 1083139935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TN · 23136 Licensed in VA · 0024175255
130 W RAVINE RD STE 3A, Kingsport, TN 37660

Secondary Practice Locations 2

Location 1415 Broad St Ste 410Kingsport, TN 37660-4264 · Phone (423) 239-9737 · Fax (423) 239-9737
Location 2111 W Stone Dr Ste 310Kingsport, TN 37660-6030 · Phone (423) 398-7020

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles David Bray Fnp-bc 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.

PECOS PAC ID5092080622
PECOS Enrollment IDI20180103003364
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 37660 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 14

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

Physician Assistant (Surgical)
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660
Surgery
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660
Nurse Practitioner (Family)
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660
Surgery
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660
Nurse Practitioner (Acute Care)
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660
Physician Assistant (Surgical)
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660
Nurse Practitioner (Family)
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660
Surgery
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660

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 Charles Bray's NPI number?

The NPI number for Charles Bray is 1083139935. It was assigned to this individual provider in the NPPES registry on August 11, 2017.

Where is Charles Bray located?

Charles Bray practices at 130 W Ravine Rd Ste 3A, Kingsport, TN 37660. The listed phone number is (423) 245-6101.

What is Charles Bray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Bray enrolled in Medicare?

Yes. Charles 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.

What insurance does Charles Bray accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Charles 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 Charles Bray was last updated on February 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.