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NPI Code Detail

MEDICARE: GRETCHEN ELDER BRAYMAN MD

MEDICARE:   GRETCHEN ELDER BRAYMAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician0101261582VA
2207RC0200XCritical Care Medicine (Internal Medicine) Physician0101261582VA

General Provider Information

NPI Number : 1538587761
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRETCHEN ELDER BRAYMAN MD
Provider Business Mailing Address
First Line : 6528 HARBOUR POINTE DR
Second Line :
City : SUFFOLK
State : VA
Zip : 23435-3180
Country : US
Telephone Number : 919-796-3442
Fax Number :
Provider Business Practice Location Address
First Line : 4000 COLISEUM DR STE 320
Second Line :
City : HAMPTON
State : VA
Zip : 23666-5983
Country : US
Telephone Number : 757-827-2350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2014
Last Update Date : 11/02/2023

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Directions to “ GRETCHEN ELDER BRAYMAN MD” Practice Location

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