DR. JORDAN OWEN BRAY DO
NPI 1659021947
Student in an Organized Health Care Education/Training Program in Garden City, MI

Active since March 28, 2022PECOS Enrolled
6245 INKSTER RD, GARDEN CITY, MI 48135(734) 458-4232 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jordan Owen Bray Do NPPES

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

DR. JORDAN OWEN BRAY DO (NPI 1659021947) is an individual student in an organized health care education/training program in Garden City, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659021947
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JORDAN OWEN BRAYCredential: DO
Location Address6245 INKSTER RDGarden City, MI 48135-4001
Mailing Address1401 Windgate Way LnChesterfield, MO 63005-4496 · (314) 517-3980
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1659021947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

6245 INKSTER RD, Garden City, MI 48135

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jordan Owen Bray Do 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.

Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Student in an Organized Health Care Education/Training Program
6245 INKSTER RD
GARDEN CITY, MI 48135
Nurse Anesthetist, Certified Registered
6245 INKSTER RD
GARDEN CITY, MI 48135
Nurse Anesthetist, Certified Registered
6245 INKSTER RD
GARDEN CITY, MI 48135
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Emergency Medicine
6245 INKSTER RD
GARDEN CITY, MI 48135
Radiology (Diagnostic Radiology)
6245 INKSTER RD
GARDEN CITY, MI 48135

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 Jordan Bray's NPI number?

The NPI number for Jordan Bray is 1659021947. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Jordan Bray located?

Jordan Bray practices at 6245 Inkster Rd, Garden City, MI 48135. The listed phone number is (734) 458-4232.

What is Jordan Bray's specialty?

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

Is Jordan Bray enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Bray was last updated on March 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.