Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Bryan Gray , DO

Dermatology โ€ข Lima, OH

Active NPI 1831514025 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

750 W High St Ste 300
Lima, OH 458012967

Call 4192296781 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

750 W High St Ste 300

Lima, OH 458012967

Telephone 4192296781
Fax 6143869506
Organization at the Same NPPES Address or Phone
West Ohio Dermatology, Inc. Facility NPI 1619070224

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Lancaster, OH; Lima, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Derm Institute Of West Michigan Plc; Gray Derm Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Medicare patients

1,632 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $3,132,845 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $2,440,800 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

3,176 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,595,149 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $38,691.77 across 202 records.

By nature of payment (3 largest of 5)

  • Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $31,612.50 across 16 records.
  • Food and Beverage: $3,909.51 across 178 records.
  • Consulting Fee: $2,400.00 across 1 record.

Reporting-company totals (3 largest of 27)

  • Eli Lilly and Company: $32,494.57 across 28 records.
  • Incyte Corporation: $2,744.45 across 8 records.
  • ABBVIE INC.: $748.87 across 51 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Gray has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Gray as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lima and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Dermatology in Ohio (2024, 363 clinicians with data). Median for this group: 2,065. Middle half: 1,076 to 3,673.

Too few clinicians listed under Dermatology in Lima have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Dermatology in Ohio (2024, 363 clinicians with data). Median for this group: $137,240. Middle half: $69,184 to $237,264.

Too few clinicians listed under Dermatology in Lima have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Dermatology in Ohio (2024, 363 clinicians with data). Median for this group: $91,114. Middle half: $47,586 to $169,550.

Too few clinicians listed under Dermatology in Lima have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Dermatology in Ohio (2024, 398 clinicians with data). Median for this group: 644. Middle half: 280 to 1,144.

Too few clinicians listed under Dermatology in Lima have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Dermatology in Ohio (2024, 398 clinicians with data). Median for this group: $99,003. Middle half: $10,227 to $354,602.

Too few clinicians listed under Dermatology in Lima have Medicare Part D data for 2024 to compare.

4 active clinicians are listed under Dermatology with a practice address in Lima, OH (508 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 202 records totaling $38,691.77.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $5,625.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $2,500.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $2,500.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $2,500.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $2,500.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $2,500.00
Incyte Corporation
Consulting Fee
Cash or cash equivalent
โ€” General $2,400.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,575.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,575.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,575.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,562.50
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,250.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,250.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,250.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,250.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $1,250.00
Eli Lilly and Company
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
EBGLYSS General $950.00
Microaire Surgical Instruments Llc
Travel and Lodging
Cash or cash equivalent
ENDOTINE General $207.92
Incyte Corporation
Food and Beverage
Cash or cash equivalent
โ€” General $161.32
Eli Lilly and Company
Travel and Lodging
Cash or cash equivalent
EBGLYSS General $156.80
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $129.67
Eli Lilly and Company
Food and Beverage
Cash or cash equivalent
EBGLYSS General $125.00
Eli Lilly and Company
Travel and Lodging
Cash or cash equivalent
EBGLYSS General $116.20
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $112.17
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $112.14

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J3245 Injection, tildrakizumab, 1 mg
10,503 38 $173.13 $135.21
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
4,400 21 $3.39 $1.67
17003 Destruction of precancer skin growth, 2-14 growths
3,314 583 $12.33 $6.05
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
1,395 930 $173.74 $85.51
17000 Destruction of precancer skin growth, 1 growth
1,060 795 $127.83 $44.05
17110 Destruction of skin growth, 1-14 growths
984 706 $212.47 $91.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
514 514 $213.24 $104.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
498 352 $245.45 $120.97
Q4221 Amniowrap2, per square centimeter
410 16 $2161.90 $1765.79
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area
401 26 $494.83 $243.30
17004 Destruction of precancer skin growth, 15 or more growths
364 242 $314.12 $154.07
77401 Superficial and/or low voltage radiation treatment delivery
275 22 $76.00 $37.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
274 61 $1.98 $0.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg
229 43 $0.28 $0.11
96372 Injection of drug or substance under skin or into muscle
190 81 $27.00 $13.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
177 177 $321.07 $158.24
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
139 126 $1405.82 $400.59
17111 Destruction of skin growth, 15 or more growths
118 87 $249.25 $116.56
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
109 86 $227.08 $84.54
11200 Removal of skin tag, 1-15 skin tags
102 95 $174.44 $51.79
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
94 84 $256.19 $110.21
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
89 84 $256.15 $112.61
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
85 75 $1214.00 $462.33
11104 Punch biopsy, first skin growth
69 68 $233.36 $110.70
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
59 50 $845.78 $384.31

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Mupirocin Mupirocin 441 6,858 $2,641.68 404
Triamcinolone Acetonide Triamcinolone Acetonide 320 9,312 $3,249.68 210
Cefadroxil Cefadroxil 230 1,338 $1,245.46 217
Ketoconazole Ketoconazole 226 7,089 $3,039.80 117
Clobetasol Propionate Clobetasol Propionate 169 4,879 $8,494.73 104
Fluconazole Fluconazole 159 5,405 $1,328.35 51
Minoxidil Minoxidil 157 7,166 $1,197.04 37
Doxycycline Hyclate Doxycycline Hyclate 106 2,823 $2,652.41 50
Hydroxyzine Hcl Hydroxyzine Hcl 105 3,037 $942.45 37
Ammonium Lactate Ammonium Lactate 99 3,912 $2,228.46 73
Dupixent Pen Dupilumab 98 3,136 $422,744.91 14
Fluorouracil Fluorouracil 78 2,159 $6,665.95 66
Spironolactone Spironolactone 64 2,440 $815.11 19
Humira(Cf) Pen Adalimumab 39 1,092 $516,735.89 โ€”
Valacyclovir Valacyclovir Hcl 36 414 $581.07 19
Fluocinonide Fluocinonide 33 925 $1,330.80 19
Minocycline Hcl Minocycline Hcl 33 912 $773.62 17
Prednisone Prednisone 30 758 $145.27 12
Metronidazole Metronidazole 28 897 $2,129.98 16
Rinvoq Upadacitinib 28 1,020 $233,837.17 โ€”
Cephalexin Cephalexin 27 132 $91.39 27
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 25 74 $56.85 24
Hydroxychloroquine Sulfate Hydroxychloroquine Sulfate 23 1,110 $545.86 โ€”
Acitretin Acitretin 23 690 $6,346.45 โ€”
Finasteride Finasteride 22 780 $158.66 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-04
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES OH 34.013501

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES MI 5101021720

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

License # reported to NPPES OH 34.013501

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Oh License
34.013501 (OH)
Other Identifier Mi License
5101021720 (MI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20181218002726

Enrollment State Jurisdiction

OH

PECOS Control ID

6002129392

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Derm Institute Of West Michigan Plc

1661 Crystal Springs Blvd Se, Caledonia, MI 493167478

Phone: 6163260114

Gray Derm Pllc

750 W High St, Lima, OH 458012967

Phone: 4192296781

Secondary Practice Locations

1005 Bellefontaine Ave Ste 300

Lima, OH 458042881

Phone: 4199988297

609 E Chestnut St

Lancaster, OH 431303900

Phone: 7402067131

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Elizabeth Bonifas

Nurse Practitioner - Family

NPI 1770244295
Jenna Burgei , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1619324027

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Amy Cleemput , CNS

Nurse Practitioner - Family

NPI 1568702678

Clinical Nurse Specialist

Ruth Grothouse , C-NP

Nurse Practitioner - Family

NPI 1033209010

Certified Nurse Practitioner

Nancy Kinkley , CNP

Nurse Practitioner - Family

NPI 1699924696

Certified Nurse Practitioner

Jessica Steinke , CNP

Nurse Practitioner - Family

NPI 1538560016

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
๐Ÿ“
Updated Practice Location February 04, 2026

Registered at 750 W HIGH ST STE 300, LIMA, OH 458012967 (Tel: 4192296781)

๐Ÿ“
Updated Business Mailing Address February 04, 2026

Registered at 750 W HIGH ST STE 300, LIMA, OH 458012967 (Tel: 4192296781)

๐Ÿ“
Updated Business Mailing Address March 27, 2024

Registered at 1005 BELLEFONTAINE AVE STE 300, LIMA, OH 458042881 (Tel: 4199988297)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2023

Dermatology (license number reported to NPPES: MI 5101021720)

๐Ÿ“
Updated Practice Location October 10, 2019

Registered at 525 N EASTOWN RD STE A, LIMA, OH 458072268 (Tel: 4199988297)

๐Ÿ“
Updated Business Mailing Address October 10, 2019

Registered at 525 N EASTOWN RD STE A, LIMA, OH 458072268 (Tel: 4199988297)

๐Ÿ‘ค
Provider Name / Credentials Updated October 10, 2019

Recorded as BRYAN GRAY, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Dermatology (license number reported to NPPES: OH 34.013501)

๐Ÿ“
Updated Business Mailing Address October 10, 2018

Registered at 1272 HUNTER AVE, COLUMBUS, OH 432013231 (Tel: 6145966789)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2018

Dermatology (license number reported to NPPES: MI 5101021720)

๐Ÿ“
Updated Practice Location June 08, 2018

Registered at 305 N LEROY ST, FENTON, MI 484302729 (Tel: 8106299200)

โœ…
NPI Profile Active February 24, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 24, 2014

Registered at 55 HOSPITAL DR, ATHENS, OH 457012302 (Tel: 7405929334)

๐Ÿ“
Business Mailing Address (Initial Record) February 24, 2014

Registered at 55 HOSPITAL DR, ATHENS, OH 457012302 (Tel: 7405929334)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 24, 2014

Recorded as BRYAN GRAY

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2014

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration February 24, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831514025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2014
Last Update: February 04, 2026
Sole Proprietor: Yes

Other Dermatology Specialists in Lima

Healthcare providers in Lima

Mailing Address

750 W High St Ste 300

Lima, OH 458012967

Phone: 4192296781

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.