Susan Teresa Bray-Hall, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

39975 Issued in CO

Practice address

1055 Clermont St
#111-D
Denver, CO 80220-3808

Phone

(303) 393-2822

Fax

(303) 202-8405

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1255305363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE",
            "address_2": "STE 1100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463048",
            "telephone_number": "720-376-3235",
            "fax_number": "303-202-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CLERMONT ST",
            "address_2": "#111-D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203808",
            "telephone_number": "303-393-2822",
            "fax_number": "303-202-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY-HALL",
        "first_name": "SUSAN",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "39975",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "39975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon M Braverman, MD
• Leticia Concepcion Bravo Sierra
• Aiyana Bravo
• Rebecca Bravo, R.N.
• Tyrone S Braxton, LCSW
• Sara Alexandra Bray
• Vance J Bray, MD
• Ruby Ellen Brayman, LCSW
• Riley Brayton, RN
• Brea Denver, LLC

• Geriatric Medicine (Internal Medicine) Physician in Denver, CO
• Providers in Denver, CO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.