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

Dr. Gina Vick Bray, DO

Individual provider Internal Medicine Physician · NPI 1255338984

Dr. Gina Vick Bray, DO is an Internal Medicine in Southaven, Mississippi. Graduated from West Virginia School of Osteopathic Medicine in 1994, 32 years ago. Practices with Statera Health Care LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
32
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
MS
In the registry since
2005
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.

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Practice location Address checks out

187 Stateline Rd E Ste 10
Southaven, MS 38671-1704
Phone: (662) 342-5353
Fax: (662) 393-9753
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 15380 (MS)

Record details

NPI number1255338984
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 7, 2005
Last updated in NPPESApril 14, 2011
Mailing addressPo Box 1369, Southaven, MS 38671-0014

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1994 (32 years in practice)
Group practice Statera Health Care Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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