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

Samuel Allen Gray

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366901332

Samuel Allen Gray is an Emergency Medicine in Wyandotte, Michigan. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2019, 7 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
NC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 287-9029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2022-01488 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366901332
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address2333 Biddle Ave, Wyandotte, MI 48192-4668

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2019 (7 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wyandotte