IndividualActive
Matthew Gray, IDMT
NPI 1104393446 · Independent Duty Medical Technicians · Eielson Afb, AK
Provider details
- NPI number
- 1104393446
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2630 Central Ave
Eielson Afb, AK 99702-2301
Phone: (931) 220-2210
Approximate (ZIP-level) locationGet directions
Mailing address
2630 Central Ave
Eielson Afb, AK 99702-2301
Registry dates
- Enumerated
- 2018-10-24
- Last updated
- 2018-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.