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

Mr. Charles David Bray, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1083139935

Mr. Charles David Bray, FNP-BC is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2017, 9 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
9
Licensed in
TN, VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

130 W Ravine Rd Ste 3A
Kingsport, TN 37660-3841
Phone: (423) 245-6101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 415 Broad St Ste 410, Kingsport, TN 37660-4264 — (423) 239-9737
  • 111 W Stone Dr Ste 310, Kingsport, TN 37660-6030 — (423) 398-7020

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23136 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024175255 (VA)

Record details

NPI number1083139935
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 11, 2017
Last updated in NPPESFebruary 22, 2025
Certification dateFebruary 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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