Bethany C Bray, M.D.
Ophthalmology in West Columbia, SC. Individual provider (NPI-1).
NPI number1831222181
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1831222181
- Entity type
- Individual (NPI-1)
- Name
- Bethany C Bray
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2007
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 27983 | SC | Yes |
Practice location
2728 Sunset Blvd Ste 106West Columbia, SC 29169-4836
Phone 803-314-9760 · Fax 803-314-9761
Mailing address
Po Box 6069West Columbia, SC 29171-6069
Phone 803-314-9760 · Fax 803-314-9761
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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