Marcus Bray, LPN
Licensed Practical Nurse in Columbus, OH. Individual provider (NPI-1).
NPI number1013762392
StatusActive
Last updated in NPPESApr 20, 2024
Details
- NPI
- 1013762392
- Entity type
- Individual (NPI-1)
- Name
- Mr. Marcus Bray
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2024
- Certification date
- Apr 20, 2024
- Last updated
- Apr 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 157594 | OH | Yes |
Practice location
3359 Robin Hill Ct WColumbus, OH 43223-3523
Phone 614-286-8015
Mailing address
8130 Chapel Stone RdBlacklick, OH 43004-9229
Phone 614-286-8015
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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