Provider Demographics
NPI:1356234496
Name:BRAY CHIROPRACTIC & WELLNESS, LLC
Entity type:Organization
Organization Name:BRAY CHIROPRACTIC & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS, LMT, ACSM-EP
Authorized Official - Phone:203-589-5570
Mailing Address - Street 1:99 CITIZENS DR # 19
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1262
Mailing Address - Country:US
Mailing Address - Phone:203-303-4760
Mailing Address - Fax:475-218-4420
Practice Address - Street 1:99 CITIZENS DR # 19
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-1262
Practice Address - Country:US
Practice Address - Phone:203-303-4760
Practice Address - Fax:475-218-4420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty