Individual provider Active NPI

Susan Beausoleil Bograd, MD

  • Forensic Psychiatry Physician
  • Denver, CO
National Provider Identifier
1366517625
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
34363 Issued in CO
Practice address
3300 East First Avenue
Suite 590
Denver, CO 80206-5818
Phone
(303) 320-1968
Fax
(303) 322-2155
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 34363 CO Primary
Psychiatry Physician 2084P0800X 34363 CO

Addresses

Primary practice location

3300 East First Avenue
Suite 590
Denver, CO 80206-5818

Mailing address

3300 East First Avenue
Suite 590
Denver, CO 80206-5818
Phone (303) 320-1968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Bograd Forensic Psychiatry PastSince Dec 5, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366517625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EAST FIRST AVENUE",
            "address_2": "SUITE 590",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065818",
            "telephone_number": "303-320-1968",
            "fax_number": "303-322-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EAST FIRST AVENUE",
            "address_2": "SUITE 590",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065818",
            "telephone_number": "303-320-1968",
            "fax_number": "303-322-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGRAD",
        "first_name": "SUSAN",
        "middle_name": "BEAUSOLEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CO",
            "license": "34363",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "34363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.