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

Mackenzie Malcolm Gray, PA-C

Individual provider Surgical Physician Assistant · NPI 1407479272

Mackenzie Malcolm Gray, PA-C is a Physician Assistant in Springfield, Massachusetts. Qualified in 2020, 6 years ago. Practices with Mass General Brigham Medical Group Western Massachusetts Inc, a 293-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
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

271 Carew St
Springfield, MA 01104-2377
Phone: (413) 748-7353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA7598 (MA)

Record details

NPI number1407479272
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 27, 2020
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing addressSurgical Pa Dept, 271 Carew St, Springfield, MA 01104-2377

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 Mass General Brigham Medical Group Western Massachusetts Inc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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