1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Otolaryngology
  6. NPI Profile

GRAY FACIAL PLASTIC SURGERY
NPI 1104638451
Otolaryngology - Facial Plastic Surgery in Boise, ID

Active since January 23, 2025
2593 N BIRD ST, BOISE, ID 83704(208) 631-6990 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gray Facial Plastic Surgery NPPES

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

GRAY FACIAL PLASTIC SURGERY (NPI 1104638451) is a healthcare organization registered as a facial plastic surgery in Boise, Idaho and active in the NPI registry since January 2025. The organization lists Alan James Gray, Facial Plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1104638451
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameGRAY FACIAL PLASTIC SURGERY
Location Address2593 N BIRD STBoise, ID 83704-5649
Mailing Address2593 N Bird StBoise, ID 83704-5649 · (208) 631-6990
Phone(208) 631-6990
Organization SubpartNo
Authorized OfficialAlan James GrayFacial Plastic Surgeon · (208) 631-6990
Enumeration DateJanuary 23, 2025
Last NPPES UpdateFebruary 9, 2025
NPPES CertifiedFebruary 9, 2025
✔ NPI 1104638451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
2593 N BIRD ST, Boise, ID 83704
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Gray Facial Plastic Surgery's NPI number?

The NPI number for Gray Facial Plastic Surgery is 1104638451. It was assigned to this organization in the NPPES registry on January 23, 2025.

Where is Gray Facial Plastic Surgery located?

Gray Facial Plastic Surgery is located at 2593 N Bird St, Boise, ID 83704. The listed phone number is (208) 631-6990.

What is Gray Facial Plastic Surgery's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Gray Facial Plastic Surgery was last updated on February 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.