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

Jonathan Eugene Gray, DO

Individual provider Orthopaedic Surgery Physician · NPI 1578798054

Jonathan Eugene Gray, DO is an Orthopedic Surgery in Bolivar, Missouri. Qualified in 2009, 17 years ago. Practices with Citizens Memorial Healthcare, a 145-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2009
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

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone: (417) 326-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2014004995 (MO)

Record details

NPI number1578798054
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2009
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021
Mailing address1155 W Parkview St, Suite 2d, Bolivar, MO 65613-8279

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Citizens Memorial Healthcare — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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