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DR. BRANDON P.L. GRAY D.D.S.
NPI 1104112226
Dentist - General Practice in Chicago, IL

Active since June 27, 2011PECOS Enrolled
811 W WELLINGTON AVE, CHICAGO, IL 60657(773) 871-6138 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brandon P.l. Gray D.d.s. NPPES

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

DR. BRANDON P.L. GRAY D.D.S. (NPI 1104112226) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.028677) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104112226
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRANDON P.L. GRAYCredential: D.D.S.
Location Address811 W WELLINGTON AVEChicago, IL 60657-5123
Mailing Address811 W Wellington AveChicago, IL 60657-5123
Phone(773) 871-6138
Sole ProprietorNo
Enumeration DateJune 27, 2011
✔ NPI 1104112226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.028677
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
811 W WELLINGTON AVE, Chicago, IL 60657
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon P.l. Gray D.d.s. 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 60657 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 20

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

HIBAH KHAN
Dentist (General Practice)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-1461
NIA MARSHALL
Dentist (General Practice)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-2188
DR. CODY WILFINGER DDS
Student in an Organized Health Care Education/Training Program
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-6138
DR. CAROLINE LUCILLE GREEN DMD
Dentist (General Practice)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-1461
JANICE CHOO
Student in an Organized Health Care Education/Training Program
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-6138
DR. KATIE ELIZABETH LIMARDI D.D.S.
Dentist
811 W WELLINGTON AVE, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
CHICAGO, IL 60657
Cook County (773) 871-1461
DR. CATHARINE MARGARET KENNEDY D.D.S
Dentist (General Practice)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-6138
DR. AYANNA WILLIAMS DDS
Dentist (Pediatric Dentistry)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-1461

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 Brandon Gray's NPI number?

The NPI number for Brandon Gray is 1104112226. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Brandon Gray located?

Brandon Gray practices at 811 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 871-6138.

What is Brandon Gray's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brandon Gray enrolled in Medicare?

Yes. Brandon Gray is registered in the Medicare PECOS enrollment system.

What insurance does Brandon Gray accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Brandon Gray 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 Brandon Gray was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.