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BRENDAN GRAY
NPI 1215668132
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since June 21, 2022PECOS Enrolled
100 WOODRUFF CIR NE, ATLANTA, GA 30322(404) 727-5655 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brendan Gray NPPES

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

BRENDAN GRAY (NPI 1215668132) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215668132
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENDAN GRAY
Location Address100 WOODRUFF CIR NEAtlanta, GA 30322-1007
Mailing Address100 Woodruff Cir NeAtlanta, GA 30322-1007
Phone(404) 727-5655
Sole ProprietorNo
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1215668132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 WOODRUFF CIR NE, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendan Gray 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.

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.

QSANET TEKIE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
JOSHUA HYUNKEE KIM
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
PATRICIA ELIZABETH CHAN
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5910
KAMSIYONNA ADICHIE
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5655
BENNETT BOUSHKA
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
SOPHIE BLASBERG
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
DESTINY EKWUEME
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5660
ANDEE KOO
Student in an Organized Health Care Education/Training Program
100 WOODRUFF CIR NE
ATLANTA, GA 30322
Dekalb County (404) 727-5640

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 Brendan Gray's NPI number?

The NPI number for Brendan Gray is 1215668132. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Brendan Gray located?

Brendan Gray practices at 100 Woodruff Cir NE, Atlanta, GA 30322. The listed phone number is (404) 727-5655.

What is Brendan Gray's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brendan Gray enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brendan Gray was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.