Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1801834692 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome L Bray , MD

Surgery • Thief River Falls, MN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerome Bray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2006
NPI Deactivation Date November 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Bray, MD was a registered Surgery practicing in Thief River Falls, MN. Throughout an active medical career spanning 16 years, Dr. Bray provided care at the practice location at 1720 HIGHWAY 59 S until profile deactivation on 2022-11-17.

Practice Location & Contact Primary Location

Practice Address

1720 Highway 59 S

Thief River Falls, MN 567014331

Telephone 2186814747
Fax 2186832595
Associated Practice Facility / Clinic
🏢 Dakota Clinic, Ltd. Facility NPI 1821049180

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Thief River Falls, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Thief River Falls, MN (770 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 18292

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003932518

MALPLADC

Anna Barth , MSW, LICSW

Social Worker - Clinical

NPI 1013698364

Master of Social Work, Licensed Independent Clinical Social Worker

NPI 1023063328

Doctor of Chiropractic

NPI 1043524465

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner

Soheil Souri

Family Medicine

NPI 1073185856
Dr. Jawad Khan , MD

Internal Medicine

NPI 1083657035

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated November 17, 2022

Record deactivated on November 17, 2022

NPI Profile Active January 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2012

Registered at 1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 567014331 (Tel: 2186814747)

📍
Updated Business Mailing Address January 06, 2012

Registered at 1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 567014331

👤
Provider Name / Credentials Updated January 06, 2012

Recorded as JEROME BRAY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2012

Surgery (License #18292 in MN)

🟢
Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jerome Bray. Be the first to share your experience!

Sign in to leave a review for Dr. Jerome Bray

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801834692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: January 06, 2012
Deactivation Date: November 17, 2022

Mailing Address

1720 Highway 59 S

Thief River Falls, MN 567014331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.