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BRAY FAMILY MEDICINE, PLLC
NPI 1528459369
Clinic/Center - Multi-Specialty in Arkadelphia, AR

Active since February 16, 2015CLIA 04D2096442 · Microscopy
303 PROFESSIONAL PARK DR, ARKADELPHIA, AR 71923(870) 464-1515(870) 464-1514 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2020, Jan 24, 2020 (2 updates tracked since 2020).

About Bray Family Medicine, Pllc NPPES

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

BRAY FAMILY MEDICINE, PLLC (NPI 1528459369) is a healthcare organization registered as a multi-specialty in Arkadelphia, Arkansas and active in the NPI registry since February 2015. The organization holds a CLIA Microscopy certificate valid through May 25, 2027 and lists Shelly C Bray, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1528459369
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBRAY FAMILY MEDICINE, PLLC
Location Address303 PROFESSIONAL PARK DRArkadelphia, AR 71923-5317
Mailing Address303 Professional Park DrArkadelphia, AR 71923-5317 · (870) 464-1515 · Fax (870) 464-1514
Phone(870) 464-1515
Fax(870) 464-1514
Organization SubpartNo
Authorized OfficialShelly C BrayOwner, Physician · (870) 464-1515
Enumeration DateFebruary 16, 2015
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1528459369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
303 PROFESSIONAL PARK DR, Arkadelphia, AR 71923
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bray Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bray Family Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shelly Bray, M.D.
Family Practice
NPI 1902824162
303 PROFESSIONAL PARK DR
Arkadelphia, AR 71923
(870) 464-1515
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2096442

Bray Family Medicine, PLLC · Arkadelphia, AR
Active · expires May 25, 2027
CLIA Number04D2096442
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorDr. Shelly C. Bray
Laboratory Phone(000) 870-4641
Laboratory LocationBray Family Medicine, PLLC303 Professional Park Drive, Arkadelphia, AR 71923
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Bray Family Medicine, PLLC's NPI number?

The NPI number for Bray Family Medicine, PLLC is 1528459369. It was assigned to this organization in the NPPES registry on February 16, 2015.

Where is Bray Family Medicine, PLLC located?

Bray Family Medicine, PLLC is located at 303 Professional Park Dr, Arkadelphia, AR 71923. The listed phone number is (870) 464-1515.

What is Bray Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Bray Family Medicine, PLLC enrolled in Medicare?

Yes. Bray Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bray Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bray Family Medicine, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bray Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2096442) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bray Family Medicine, PLLC was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.