250.184 modifies 250.142(B) and allows the neutral to be a grounding conductor. In fact 250 Part X pretty much throws out the unibond idea, and the separation of neutral and grounding systems at medium voltages.
A unigrounded neutral by itself is not a hazard, but when it is installed in a system that is otherwise built as a multigrounded system you have a disaster waiting to happen. For example, many padmounted transformers are wye-wye, and separate neutrals and grounds aren't possible with standard equipment.
Your system could be safe, but it would take special engineering, and careful construction because it would be more unusual than common. I would bet the majority of medium voltage systems in customer installations are probably multiple grounded neutrals.
I worked for utilities for 20 years, and have been designing customer owned medium voltage systems for over 30 years and have never designed one with a uniground.
Jim T