MATTHEW GRAY IDMT
NPI 1104393446
Military Health Care Provider - Independent Duty Medical Technicians in Eielson Afb, AK

Active since October 24, 2018
2630 CENTRAL AVE, EIELSON AFB, AK 99702(931) 220-2210 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Gray Idmt NPPES

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

MATTHEW GRAY IDMT (NPI 1104393446) is an individual independent duty medical technicians provider in Eielson Afb, Alaska and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1104393446
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMATTHEW GRAYCredential: IDMT
Location Address2630 CENTRAL AVEEielson Afb, AK 99702-2301
Mailing Address2630 Central AveEielson Afb, AK 99702-2301
Sole ProprietorNo
Enumeration DateOctober 24, 2018
NPI 1104393446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
2630 CENTRAL AVE, Eielson Afb, AK 99702

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.

Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Social Worker (Clinical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Nurse Practitioner (Pediatrics)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Pediatrics
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Nurse Practitioner (Family)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702

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 Matthew Gray's NPI number?

The NPI number for Matthew Gray is 1104393446. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Matthew Gray located?

Matthew Gray practices at 2630 Central Ave, Eielson Afb, AK 99702. The listed phone number is (931) 220-2210.

What is Matthew Gray's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Matthew Gray was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.