Gail Peters Brayden, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301046680 Issued in MI

Practice address

1414 West Fair Avenue
Suite 334
Marquette, MI 49855

Phone

(906) 225-3870

Fax

(906) 225-4861

NPI assigned

Jun 16, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Upper Michigan Cardiovascular Associates, PC

  • Cardiovascular Disease Physician
  • Marquette, MI
  • NPI 1649214099
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1588608947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 WEST FAIR AVENUE",
            "address_2": "SUITE 334",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-3870",
            "fax_number": "906-225-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 WEST FAIR AVENUE",
            "address_2": "SUITE 334",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-3870",
            "fax_number": "906-225-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYDEN",
        "first_name": "GAIL",
        "middle_name": "PETERS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301046680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0605200321",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443962",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30389400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Brandt
• Katrina M Brang, MD
• Caitlyn Lee Bratton
• Gabrielle Bray
• John W Bray, LLMSW
• Madalyne Faith-Renee Brazeau, PA
• Brett S. Goymerac DDS PC
• Bonnie S. Brewer, RD
• Grace Brindle
• Jeffrey C Brittain, LLP

• Cardiovascular Disease Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.