Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles P Bray, PA-C

Individual provider Physician Assistant · NPI 1336120575

Charles P Bray, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 1990, 36 years ago. Practices with Haven Spine and Pain Center PLLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
36
Licensed in
MI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2680 Leonard St NE Ste 3
Grand Rapids, MI 49525-6901
Phone: (616) 317-7246
Fax: (616) 920-6540
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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 5601001995 (MI)

Record details

NPI number1336120575
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Haven Spine And Pain Center Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Grand Rapids