MR. CHARLES DAVID BRAY FNP-BC
NPI 1083139935
Nurse Practitioner - Family in Kingsport, TN
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
Specialties & Licenses
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Charles Bray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 861 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.
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.
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.
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.
Which organization bills Medicare for Charles Bray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Bray reassigns Medicare benefits to Wellmont Medical Associates, Inc. (Kingsport, TN). 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 Charles Bray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Bray accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 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 20 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.
# Mr. Charles David Bray, FNP-BC · NPI 1083139935
Family physician in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since August 11, 2017.
## Identity
- **NPI:** 1083139935 (Entity type: Individual)
- **Enumerated:** August 11, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23136 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 W RAVINE RD STE 3A, Kingsport, TN 37660-3841
- **Phone:** (423) 245-6101
## 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:** Wellmont Medical Associates, Inc. (NPI 1598124398, Kingsport, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083139935) · Data from the CMS NPPES public registry.