Active NPI
Susan E. Braley, MD
- Diagnostic Radiology Physician
- Cincinnati, OH
National Provider Identifier
1487643037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35-06-2155
- Practice address
- 234 Goodman St
ML 0761
Cincinnati, OH 45267-1000 - Phone
- (513) 584-4391
- Fax
- (513) 584-0431
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35-06-2155 | OH | Primary |
Addresses
Primary practice location
234 Goodman St
ML 0761
Cincinnati, OH 45267-1000
Mailing address
PO Box 636256 Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 245-3107
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200039480A | Medicaid | IN | |
| 0843798 | Medicaid | OH | |
| 64868219 | Medicaid | KY | |
| 1620954 | Other | OH | UNITED HEALTHCARE |
| 655258 | Other | OH | AETNA |
| 000000013880 | Other | OH | ANTHEM |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverhills Healthcare Inc | Diagnostic Radiology | Past | Accepting new patients |
| Riverhills Healthcare, Inc. | Past | Accepting new patients |
Interoperability endpoints
- sbraley28237@direct.uchealth.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822
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 and National Provider Directory roles.
-
dba Riverhills Neuroscience
- Neurology Physician
- Cincinnati, OH
- NPI 1205943651
Diagnostic Radiology
-
- Neurological Surgery Physician
- Cincinnati, OH
- NPI 1740386440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1487643037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256 CENTRAL CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-245-3107",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"address_2": "ML 0761",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452671000",
"telephone_number": "513-584-4391",
"fax_number": "513-584-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRALEY",
"first_name": "SUSAN",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35-06-2155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200039480A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0843798",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64868219",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1620954",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "655258",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000013880",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.