Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Burgandy Gray

Individual provider Physician Assistant · NPI 1063800464

Burgandy Gray is a Physician Assistant in Horseheads, New York. Qualified in 2014, 12 years ago. Practices with Arnot Ogden Medical Center, a 217-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
12
Licensed in
NY, PA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3005 Watkins Rd
Horseheads, NY 14845-1800
Phone: (607) 739-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018372 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA057364 (PA)

Record details

NPI number1063800464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2015
Last updated in NPPESMarch 14, 2019
Mailing address571 Saint Josephs Blvd, Fl 2, Elmira, NY 14901-3230

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Arnot Ogden Medical Center — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Horseheads