Provider Demographics
NPI:1538587761
Name:BRAYMAN, GRETCHEN ELDER (MD)
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:ELDER
Last Name:BRAYMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:MICHELLE
Other - Last Name:ELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6528 HARBOUR POINTE DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3180
Mailing Address - Country:US
Mailing Address - Phone:919-796-3442
Mailing Address - Fax:
Practice Address - Street 1:4000 COLISEUM DR STE 320
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5983
Practice Address - Country:US
Practice Address - Phone:757-827-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101261582207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease