MEDICARE: SUSAN E. BRALEY 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
1	2085R0202X	Diagnostic Radiology Physician	35-06-2155	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1620954	OTHER	OH	UNITED HEALTHCARE
5	655258	OTHER	OH	AETNA
6	000000013880	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1487643037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN E. BRALEY MD

Provider Business Mailing Address
First Line	:	PO BOX 636256 CENTRAL CREDENTIALING
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-245-3107
Fax Number	:	513-585-5511

Provider Business Practice Location Address
First Line	:	234 GOODMAN ST
Second Line	:	ML 0761
City	:	CINCINNATI
State	:	OH
Zip	:	45267-1000
Country	:	US
Telephone Number	:	513-584-4391
Fax Number	:	513-584-0431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	02/12/2018

Similar Medicare Providers

1639170574 — SANGITA KAPUR MD
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45267-1000

Practice Phone: 513-584-2146
Practice Fax: 513-584-0431

1700875366 — ROBERT CANTOR MD
Practice Location Address:

234 GOODMAN ST , ML 0761
CINCINNATI, OH
45267-1000

Practice Phone: 513-584-4391
Practice Fax: 513-584-0431

1760471049 — KYURAN ANN CHOE MD
Practice Location Address:

234 GOODMAN ST , DEPT. OF RADIOLOGY
CINCINNATI, OH
45267-1000

Practice Phone: 513-584-4391
Practice Fax: 513-584-0431

1114997392 — ALBERT ALAN CHAMBERS MD
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45267-1000

Practice Phone: 513-584-7544
Practice Fax: 513-584-9100

1437120599 — UNIVERSITY RADIOLOGY ASSOCIATES OF CINCINNATI, INC.
Practice Location Address:

234 GOODMAN ST
CINCINNATI, OH
45267-1000

Practice Phone: 513-584-4391
Practice Fax: 513-584-0431

1194796029 — ROBERT LUKIN MD
Practice Location Address:

234 GOODMAN ST , DEPARTMENT OF RADIOLOGY
CINCINNATI, OH
45267-1000

Practice Phone: 513-584-7544
Practice Fax: 513-584-9100

Directions to “ SUSAN E. BRALEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.