Individual provider Active NPI

Maria Theresa Braley, D.O.

  • Family Medicine Physician
  • Bedford, NH
National Provider Identifier
1255694378
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17100 Issued in NH
Practice address
25 Leavey Dr
Bedford, NH 03110-4437
Phone
(603) 472-7233
Fax
(603) 472-9188
NPI assigned
Jun 22, 2012
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17100 NH Primary

Addresses

Primary practice location

25 Leavey Dr
Bedford, NH 03110-4437

Mailing address

25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 472-7233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029000764 NH Practitioner - Family Practice 0749418085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

25 Leavey Dr
Bedford, NH 03110-4437
Phone (603) 472-7233

275 Mammoth Rd
Manchester, NH 03109-4133

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
17100NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services CurrentSince Mar 1, 2020 Accepting new patients
Elliot Physicians Network Family Medicine CurrentSince Oct 31, 2015 Accepting new patients

Locations

25 Leavey Dr
Bedford, NH 03110
Phone (603) 472-5860

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1255694378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LEAVEY DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104437",
            "telephone_number": "603-472-7233",
            "fax_number": "603-472-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LEAVEY DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104437",
            "telephone_number": "603-472-7233",
            "fax_number": "603-472-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALEY",
        "first_name": "MARIA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "17100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.