Lisa Louise Brailey, M.D.

Primary specialty

Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X

License

041659 Issued in CT

Practice address

1 Forest Pkwy
Dianon Systems
Shelton, CT 06484-6147

Phone

(203) 926-7124

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Fpa Hospital Based

  • Nuclear Medicine Physician
  • New York, NY
  • NPI 1629319413
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Hospital Based Providers

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1104162700
  Medicare reassignment NPD
• Fpa Hospital Based

  dba Mount Sinai Dermatopathology Services III

  • Dermatopathology (Pathology) Physician
  • New York, NY
  • NPI 1841531795
  NPD
• Fpa Hospital Based

  dba Mount Sinai Pathology Outreach

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1962743575
  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1285776708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GROVE AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181615",
            "telephone_number": "203-906-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOREST PKWY",
            "address_2": "DIANON SYSTEMS",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846147",
            "telephone_number": "203-926-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAILEY",
        "first_name": "LISA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CT",
            "license": "041659",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CT",
            "license": "041659",
            "primary": false
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "CT",
            "license": "041659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bovell, LPCA
• Theresa Bowling, M.D.
• Chantal Andria Boyd
• Malaika M Boyer-Seme, MS, LPCA
• Michael Bozarth, PT, DPT
• Kevin Breton
• Jacqueline Mahony Bridge, DNP, APRN, FNP-BC
• Bridgeport Radiological Associates LLC (Advanced Radiology Consultants)
• Brightpath Wellness PC
• Brightview Shelton LLC (Brightview Shelton)

• Clinical Molecular Genetics Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Clinical Molecular Genetics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.