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

Dr. Adam Wray, DO

Individual provider Dermatology Physician · NPI 1902952930

Dr. Adam Wray, DO is a Dermatology in Blackfoot, Idaho. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2003, 23 years ago. Practices with Wray Dermatology, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
ID
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1355 Parkway Dr Ste A
Blackfoot, ID 83221-1656
Phone: (986) 275-0003
Fax: (986) 275-0005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 S 11th Ave Ste 301, Pocatello, ID 83201-4879 — (986) 275-0003

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence O-0444 (ID)

Record details

NPI number1902952930
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address1355 Parkway Dr Ste A, Blackfoot, ID 83221-1656

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2003 (23 years in practice)
Group practice Wray Dermatology — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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