Active NPI
Bradley Mohar, D.O.
- Family Medicine Physician
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13210A
- Practice address
- 214 E 23Rd St
Cheyenne, WY 82001-3748 - Phone
- (307) 634-2273
- NPI assigned
- Oct 9, 2015
- Last updated
- Sep 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0069580 | CO | |
| Family Medicine Physician | 207Q00000X | TL6376 | WY | |
| Hospitalist Physician | 208M00000X | DR.0069580 | CO | |
| Hospitalist Physician | 208M00000X | TL6376 | WY | |
| Hospitalist Physician | 208M00000X | 13210A | WY | |
| Family Medicine Physician | 207Q00000X | 13210A | WY | Primary |
Addresses
Primary practice location
214 E 23Rd St
Cheyenne, WY 82001-3748
Mailing address
PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 432-6629
Other practice location 1
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8000
Other practice location 2
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8000
Other practice location 3
5016 S US Highway 75
Denison, TX 75020
Phone (903) 416-4000
Other practice location 4
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 776-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Rocky Vista University College of Osteopathic Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 776-8040
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0069580 | CO | MD | Hospitalist Physician |
| 13210A | WY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
dba Sehc General Surgery
- Surgery Physician
- Fort Morgan, CO
- NPI 1366191363
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
dba AdventHealth Medical Group Spine and Neurosurgery at Louisville
- Neurological Surgery Physician
- Louisville, CO
- NPI 1720729411
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
dba St. Mary-Corwin Hospital
- General Acute Care Hospital
- Pueblo, CO
- NPI 1306857974
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary-Corwin Hospital
- General Acute Care Hospital
- Pueblo, CO
- NPI 1306857974
-
dba St. Mary-Corwin Wound Care Center
- General Acute Care Hospital
- Pueblo, CO
- NPI 1841830452
-
dba Centura Health - St. Mary Corwin Hospital
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1013388545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20970",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820037020",
"telephone_number": "307-432-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E 23RD ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013748",
"telephone_number": "307-634-2273"
}
],
"practiceLocations": [
{
"address_1": "28050 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483365919",
"country_code": "US",
"telephone_number": "248-471-8000",
"fax_number": "248-615-7415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28050 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483365919",
"country_code": "US",
"telephone_number": "248-471-8000",
"fax_number": "248-615-7415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5016 S US Highway 75",
"address_purpose": "LOCATION",
"city": "Denison",
"state": "TX",
"postal_code": "75020",
"country_code": "US",
"telephone_number": "903-416-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1008 Minnequa Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810043733",
"country_code": "US",
"telephone_number": "719-776-8040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAR",
"first_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-09",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0069580",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "TL6376",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "DR.0069580",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WY",
"license": "TL6376",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WY",
"license": "13210A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "13210A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.