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DR. SUSAN BEAUSOLEIL BOGRAD MD NPI 1366517625


NPI Information

NPI: 1366517625
Provider Name: DR. SUSAN BEAUSOLEIL BOGRAD, MD
Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Individual

Specialization: Forensic Psychiatry

Address:
3300 EAST FIRST AVENUE
SUITE 590
DENVER, CO
ZIP 80206
Phone: (303) 320-1968
Get Directions

DR. Susan Beausoleil Bograd, MD is a forensic psychiatry psychiatry neurology in Denver, CO. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. DR. Susan Beausoleil Bograd, MD NPI is 1366517625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3300 EAST FIRST AVENUE
SUITE 590
DENVER, CO
ZIP 80206-818
Phone: (303) 320-1968
Fax: (303) 322-2155

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084F0202XPsychiatry & NeurologyForensic Psychiatry34363COLORADOYes
22084P0800XPsychiatry & NeurologyPsychiatry34363COLORADOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E15038MEDICARE UPIN
211071MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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