Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ruston Bray, PA

Individual provider Surgical Physician Assistant · NPI 1255373338

Ruston Bray, PA is a Physician Assistant in Henderson, Texas. Qualified in 1994, 32 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
32
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

612 N High St Ste A
Henderson, TX 75652-5914
Phone: (903) 657-1441
Fax: (903) 655-1442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 323 E Hawkins Pkwy, Longview, TX 75605-7905 — (903) 758-2746

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00621 (TX)

Record details

NPI number1255373338
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESMay 30, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients183
Services billed 3,160 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Ut Health East Texas Jacksonville Hospital Hospital · Jacksonville, TX · listed as East Texas Medical Center Jacksonville
  • Ut Health East Texas Carthage Hospital Hospital · Carthage, TX
  • Ut Health East Texas Henderson Hospital Hospital · Henderson, TX
  • Ut Health East Texas Tyler Regional Hospital Hospital · Tyler, TX

Also affiliated with 1 inpatient rehabilitation facility, which CMS identifies by certification number only.

Colleagues at Etmc Physician Group, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 376 clinicians in the practice; 12 are shown here.