BRAY FAMILY MEDICINE, PLLC
NPI 1528459369
Clinic/Center - Multi-Specialty in Arkadelphia, AR
NPI Status: Active since February 16, 2015
Contact Information
303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923
Phone: (870) 464-1515
Fax: (870) 464-1514
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 04D2096442
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-25-2027
About BRAY FAMILY MEDICINE, PLLC
This page provides the complete NPI Profile along with additional information for Bray Family Medicine, Pllc, a provider established in Arkadelphia, Arkansas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1528459369 assigned on February 2015. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Shelly C Bray Md (Owner, Physician)
- NPI
- 1528459369
- Provider Name
- BRAY FAMILY MEDICINE, PLLC
- Entity Type
- Organization
- Location Address
- 303 PROFESSIONAL PARK DR ARKADELPHIA, AR 71923
- Location Phone
- (870) 464-1515
- Location Fax
- (870) 464-1514
- Mailing Address
- 303 PROFESSIONAL PARK DR ARKADELPHIA, AR 71923
- Mailing Phone
- (870) 464-1515
- Mailing Fax
- (870) 464-1514
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-16-2015
- Last Update Date
- 08-26-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2096442
- Facility Type
- Physician Office
- Certificate Effective Date
- May 26, 2025
- Certificate Expiration Date
- May 25, 2027
- Laboratory Director
- DR. SHELLY C. BRAY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Bray Family Medicine, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 4 | 5 | 9 | 3 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 8 | 5 | 18 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 8 + 5 + 1 + 8 + 3 + 1 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1528459369 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
ELVA JUNE WOLFE
Nurse Practitioner
(Family)
303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923
MRS. KENDRA SEEL M.S., L.P.C.
Counselor
(Professional)
303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923
SHELLY C BRAY M.D.
Family Medicine
303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923
CASEY RICHARD JENKINS PA-C
Physician Assistant
303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923
SEAN D. CHAMPION, MD, PA
Surgery
303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923
DR. SEAN D. CHAMPION M.D.
Surgery
303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923
BRITTNEY LEE SHANEK APRN
Nurse Practitioner
(Family)
303 PROFESSIONAL PARK DR
ARKADELPHIA, AR
ZIP 71923
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528459369, enumerated as an "organization" on February 16, 2015.
The provider is located at 303 PROFESSIONAL PARK DR ARKADELPHIA, AR 71923 and the phone number is (870) 464-1515.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
