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DR. BRADLEY WILLIAM RAY DDS FRCDC(C)
NPI 1821421116
Dentist - Oral and Maxillofacial Surgery in Plattsburgh, NY

Active since August 09, 2013Opted out of Medicare · through Jan 31, 2028
8 AMPERSAND DR, PLATTSBURGH, NY 12901(518) 562-1020 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley William Ray Dds Frcdc(c) NPPES

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

DR. BRADLEY WILLIAM RAY DDS FRCDC(C) (NPI 1821421116) is an individual oral and maxillofacial surgery provider in Plattsburgh, New York, licensed in New York (056610) and active in the NPI registry since August 2013. He has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1821421116
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRADLEY WILLIAM RAYCredential: DDS FRCDC(C)
Location Address8 AMPERSAND DRPlattsburgh, NY 12901-6500
Mailing Address8 Ampersand DrPlattsburgh, NY 12901-6500 · (518) 562-1020 · Fax (518) 562-1022
Phone(518) 562-1020
Sole ProprietorYes
Enumeration DateAugust 9, 2013
Last NPPES UpdateMay 11, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1821421116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 056610
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
8 AMPERSAND DR, Plattsburgh, NY 12901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bradley William Ray Dds Frcdc(c) has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2020 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2020
Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS B O'HARA DMD PC
Dentist (Oral and Maxillofacial Surgery)
8 AMPERSAND DR
PLATTSBURGH, NY 12901
Clinton County (518) 562-1020
PLATTSBURGH ORAL SURGERY PC
Clinic/Center (Dental)
8 AMPERSAND DR
PLATTSBURGH, NY 12901
Clinton County (518) 562-1020

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 Bradley Ray's NPI number?

The NPI number for Bradley Ray is 1821421116. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Bradley Ray located?

Bradley Ray practices at 8 Ampersand Dr, Plattsburgh, NY 12901. The listed phone number is (518) 562-1020.

What is Bradley Ray's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bradley Ray enrolled in Medicare?

No. Bradley Ray has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bradley Ray was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.