MARY BRAY MS, RD, LD
NPI 1609667344
Dietitian, Registered in Fort Worth, TX
NPI Status: Active since May 13, 2025
Contact Information
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-6299
Fax: (682) 885-1090
- Individual
- Female
- Years of Experience 3
- Dietitian, Registered
- May Accept Medicare Approved Payment
About MARY BRAY
This page provides the complete NPI Profile along with additional information for Mary Bray, a provider established in Fort Worth, Texas with a medical specialization in Dietitian, Registered and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1609667344 assigned on May 2025. The practitioner's primary taxonomy code is 133V00000X with license number DT88373 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1609667344
- Provider Name
- MARY BRAY MS, RD, LD
- Other Name
- MARY STIDHAM
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 COOPER ST FORT WORTH, TX 76104
- Location Phone
- (682) 885-6299
- Location Fax
- (682) 885-1090
- Mailing Address
- PO BOX 733784 DALLAS, TX 75373
- Mailing Phone
- (682) 885-6483
- Mailing Fax
- (682) 885-1090
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-13-2025
- Last Update Date
- 09-02-2025
- 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
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- DT88373
- License State
- TX
- Taxonomy Description
- A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Medicare Participation & PECOS Enrollment Status
Mary Bray is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8224539622
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250828000900
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for MARY BRAY MS, RD, LD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609667344, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609667344, enumerated as an "individual" on May 13, 2025.
The provider is located at 1500 COOPER ST FORT WORTH, TX 76104 and the phone number is (682) 885-6299.
Dietitian, Registered with taxonomy code 133V00000X.
