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ADDISON BRAY MD
NPI 1629565809
Family Medicine in Fort Polk, LA

Active since April 13, 2018PECOS Enrolled
1585 3RD ST, FORT POLK, LA 71459(337) 531-3517 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2023, Apr 13, 2018 (2 updates tracked since 2018).

About Addison Bray Md NPPES

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

ADDISON BRAY MD (NPI 1629565809) is an individual family medicine provider in Fort Polk, Louisiana, licensed in North Carolina (2022-01588) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629565809
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADDISON BRAYCredential: MD
Location Address1585 3RD STFort Polk, LA 71459-5102
Mailing Address1585 3rd StFort Polk, LA 71459-5102
Phone(337) 531-3517
Sole ProprietorNo
Enumeration DateApril 13, 2018
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1629565809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2022-01588
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1585 3RD ST, Fort Polk, LA 71459
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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)

Addison Bray Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JEFFERY ALAN WHITE D.O.
Orthopaedic Surgery
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (337) 531-3896
DR. LINDSAY EDWARDS MUNCY M.D.
Internal Medicine
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (706) 787-6945
DR. ANNIKA ELAINE ZIMMERMAN AU.D.
Audiologist
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (337) 531-2629
MARCO I MIRNICS DPT
Physical Therapist
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (615) 609-1424
LILLIAN ROZANSKI KEPPINGER RD
Dietitian, Registered
1585 3RD ST
FORT JOHNSON, LA 71459
Vernon Parish (318) 451-6947
KIARA GLORIA YEATMAN SCHIEN DO
Pediatrics
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (726) 780-2385
GERARD TIFFAULT MD
Emergency Medicine
1585 3RD ST
FORT POLK, LA 71459
Vernon Parish (240) 351-9565
MARK BRADLEY
Social Worker (Clinical)
1585 3RD ST, BJACH
FORT POLK, LA 71459
Vernon Parish (337) 531-3942

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 Addison Bray's NPI number?

The NPI number for Addison Bray is 1629565809. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Addison Bray located?

Addison Bray practices at 1585 3rd St, Fort Polk, LA 71459. The listed phone number is (337) 531-3517.

What is Addison Bray's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Addison Bray enrolled in Medicare?

Yes. Addison Bray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Addison Bray was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.