NPI age
19 years
Enumerated 2007-01-25
● Active
Type 1 · Individual
DR. Adam Wray, DO
Wray is 1 of 2 dermatology providers in Blackfoot and 1 of 102 in Idaho.
Primary specialty
Dermatology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-05-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 102 active dermatology providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
1355 Parkway Dr Ste A
Blackfoot, ID 832211656
Mailing address
1355 Parkway Dr Ste A
Blackfoot, ID 832211656
Additional practice locations
1 secondary location on file with NPPES.
Location 2
500 S 11th Ave Ste 301
Pocatello, ID 832014879
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010163016 | REGENCE BLUE SHIELD POC |
| 01 (ID) | S6116 | BLUE CROSS BLKFT |
| 01 (ID) | S6117 | BLUE CROSS POC |
| 05 (ID) | 807719000 | |
| 01 (ID) | 000010163015 | REGENCE BLUE SHIELD BLKFT |
| 01 (ID) | 315520 | ALTIUS |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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