Gary Bradley Lake, MD
Internal Medicine Physician · Tuba City, AZ
Gary Bradley Lake, MD is an internal medicine physician with a practice address in Tuba City, Arizona, and NPI 1679518708, issued on Jun 20, 2006. Check the license (Arizona 29509, as entered in NPPES) on the Arizona Medical Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Gary Bradley Lake
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 29509 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 167 North Main Street, Tuba City, AZ 86045
- Phone
- (928) 283-2501
- Enumerated
- Jun 20, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (928) 283-2677
- Medicaid ID
- 821702 AZ
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 2,853 in Arizona → Look up another NPI →
Also registered at 167 North Main Street
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Dustin Abaonza, PHARM DPharmacist1063774057
- Kristin AbaonzaPharmacist1255643458
- Linda Abernathy, MDEmergency Medicine Physician1386687093
- Charles Adams, RNRegistered Nurse1821423021
- Abebe AdunaRegistered Nurse1417312794
Verify Gary Bradley Lake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArizona Medical Board
Search for license 29509Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Gary Bradley Lake among 2,853 internal medicine physician records in Arizona
Gary Bradley Lake, MD is one of 2,853 internal medicine physician records with a practice address in Arizona. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 13% of them.
- NPI issued2006 · 13% of these records are older, 55% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 58% of these records are
- Record last updated2007 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 internal medicine physician records list a practice address in Tuba City
They are 13 of the 1,011 NPPES records with a practice address in Tuba City, and 2,853 internal medicine physician records in Arizona. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,853 in Arizona → Every provider in Tuba City → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Teresa Caya, MDTuba City, AZ 860451104358076
- Frank Dalichow, MDTuba City, AZ 860451194769315
- Peter Kim, MDTuba City, AZ 860451770510984
- Srinija Konduru, M.D.Tuba City, AZ 860451548671191
- David Lang, MDTuba City, AZ 860451932142189
- Bernice Ly, MDTuba City, AZ 860451326082462
- Joseph Magee, MDTuba City, AZ 860451811931033
- Trung Pham, M.D.Tuba City, AZ 860451689743346
Common questions
What is Gary Bradley Lake, MD's NPI number?
Gary Bradley Lake, MD's National Provider Identifier (NPI) is 1679518708, issued on Jun 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gary Bradley Lake, MD located?
The NPPES record lists a practice address at 167 North Main Street, Tuba City, AZ, 86045. Phone: (928) 283-2501. Providers update this record themselves, so call before visiting.
How can I verify Gary Bradley Lake, MD's license?
NPPES lists Arizona license number 29509, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.