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

Isaac Benjamin Gray

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164063699

Isaac Benjamin Gray is a Physician Assistant in Edmond, Oklahoma. Qualified in 2020, 6 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2017 W I 35 Frontage Rd Ste 250
Edmond, OK 73013-8561
Phone: (405) 757-3340
Fax: (405) 757-3520
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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 4544 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OK)

Record details

NPI number1164063699
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2019
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013-8561

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Edmond