IndividualActive
Addison Bray, MD
NPI 1629565809 · Family Medicine Physician · Fort Polk, LA
Provider details
- NPI number
- 1629565809
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2022-01588 (NC)
Mailing address
1585 3rd St
Fort Polk, LA 71459-5102
Registry dates
- Enumerated
- 2018-04-13
- Last updated
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.