Provider Demographics
NPI:1942560800
Name:GRAYS, BREYANNA (MD)
Entity type:Individual
Prefix:
First Name:BREYANNA
Middle Name:
Last Name:GRAYS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6451 N FEDERAL HWY STE 800
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1409
Mailing Address - Country:US
Mailing Address - Phone:800-586-5022
Mailing Address - Fax:815-933-7090
Practice Address - Street 1:305 W JACKSON ST STE 103
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901
Practice Address - Country:US
Practice Address - Phone:618-351-4972
Practice Address - Fax:618-351-6522
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2025-03-26
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Provider Licenses
StateLicense IDTaxonomies
NC2021-033982084N0400X
VA01012762812084N0400X
IL0361406262084N0400X
NJ25MA109735002084N0400X
NY3077942084N0400X
SC867822084N0400X
SD134602084N0400X
AL432852084N0400X
PAMD4826372084N0400X
CODR.00727002084N0400X
MDD01010452084N0400X
DCMD5000033952084N0400X
DEC1-00256152084N0400X
FLME1490042084N0400X
GA883262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology