MRS. CONNIE F. BRAY CRNA NPI 1164557351

Nurse Anesthetist, Certified Registered in Salem, AR

NPI 1164557351 Individual Female Nurse Anesthetist, Certified Registered

About CONNIE BRAY

Connie Bray is a provider established in Salem, Arkansas and her medical specialization is nurse anesthetist, certified registered. The NPI number of Connie Bray is 1164557351 and was assigned on February 2007. The practitioner's primary taxonomy code is 367500000X with license number CRNA369 (AR). The provider is registered as an individual and her NPI record was last updated 11 years ago.

Connie Bray is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1164557351

Provider NameMRS. CONNIE F. BRAY CRNA
Provider Location Address507 N MAIN ST SALEM, AR 72576
Provider Mailing Address507 N MAIN ST SALEM, AR 72576
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-21-2007
Last Update Date03-08-2011


Primary Taxonomy

Taxonomy Code367500000X
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.CRNA369
License StateAR
Taxonomy Description(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Business Address

MRS. CONNIE F. BRAY CRNA
507 N MAIN ST
SALEM, AR
ZIP 72576
Phone: (870) 895-2541
Fax: (870) 895-2957

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Mailing Address

MRS. CONNIE F. BRAY CRNA
507 N MAIN ST
SALEM, AR
ZIP 72576
Phone: (870) 895-2541
Fax: (870) 895-2957



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
59781MEDICARE PIN (08)AR

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376519454SALEM FAMILY CLINIC
Organization
General Practice507 N MAIN ST
SALEM, AR 72576
(870) 895-2541
1164499935DR. JIMMY G BOZEMAN M.D.
Individual
General Practice507 N MAIN ST
SALEM, AR 72576
(870) 895-2541
1891880555DR. PAUL DAVID KAUFFMAN M.D.
Individual
Family Medicine507 N MAIN ST
SALEM, AR 72576
(870) 895-2541

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.