CMS-1500 Box 24J / 33a • NPI
1114108404
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LX0001X (CMS 50)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
1338 SOUTH BLVD, CHIPLEY, FL, 32428-1846
✓ 9-Digit EDI 837 ZIP+4 (32428-1846)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1114108404 (EILEEN MUELLER BRAY, ARNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1114108404 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | EILEEN MUELLER BRAY, ARNP |
| Plain-English Specialty | Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: 363LX0001X (Nurse Practitioner, Obstetrics & Gynecology) |
| Certifying / Licensing Body | American Board of Obstetrics and Gynecology (ABOG) |
| Practice Location Address | 1338 SOUTH BLVD, CHIPLEY, FL, 32428-1846 |
| Practice Telephone / Fax | Tel: (850) 638-6240 |
| Administrative Mailing Address | PO BOX 648, CHIPLEY, FL, 32428-0648 |
| Enumeration & Last Sync | Enumerated: 2007-11-15 | CMS Record Updated: 2007-11-15 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363LX0001X)
What Does Taxonomy Code 363LX0001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LX0001X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (EILEEN MUELLER BRAY, ARNP)
Typical CPT / Diagnostic Procedures:- Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
- Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
- Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy
- Prenatal Folic Acid, Iron & Progesterone Supplementation
- Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
- Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LX0001X — Nurse Practitioner, Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: FL | License: ARNP 9261719 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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