Susan Brandt Graham, M.D., PH.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

86-237 Issued in NM

Practice address

4705 Montgomery Blvd NE
Ste 102
Albuquerque, NM 87109-1246

Phone

(505) 884-9488

Fax

(505) 884-7059

NPI assigned

Jun 30, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

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.

• Susan Brandt Graham, MD, PHD, PC

  • Gynecology Physician
  • Albuquerque, NM
  • NPI 1932312956
  NPD (past) Authorized official

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407853872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091246",
            "telephone_number": "505-884-9488",
            "fax_number": "505-884-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE",
            "address_2": "STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091246",
            "telephone_number": "505-884-9488",
            "fax_number": "505-884-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SUSAN",
        "middle_name": "BRANDT",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "86-237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marybeth A. Graham, PH.D.
• Michael Patrick John Graham, MA , LPCC
• Nigel Houston Graham, RD
• Paul/Viv Graham
• Rita J Graham, ABOC
• Teesha Graham
• John Alexander Grahek-Reeves
• Edwin Rene Grajeda Silvestri, M.D.
• Estellianna Grajeda-Noel
• Aidee Grajeda

• Gynecology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.