Brent James Deibert, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

DR.0070550 Issued in CO

Practice address

4745 Arapahoe Ave
Boulder, CO 80303-1080

Phone

(303) 444-3000

Fax

(303) 444-3226

NPI assigned

Jun 21, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Kansas School of Med (KC/Wich/Sal), 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center of Northern Colorado PCGroup PAC ID 5496644841, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Medical Center Hospital, Colby, KS, CCN 171362

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO D-SNP
• CO HMO

Interoperability endpoints

• Direct secure messaging: brent.deibert.p4@direct.eyecenternoco.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: brent.deibert.p5@direct.eyecenternoco.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Center of Northern Colorado, P.C.

  • Ophthalmology Physician
  • Fort Collins, CO
  • NPI 1073559605
  Medicare reassignment Care Compare group NPD
• Eye Center of Northern Colorado, P.C

  • Ophthalmology Physician
  • Boulder, CO
  • NPI 1790806644
  Medicare reassignment NPD
• Citizens Medical Center, Inc.

  • Critical Access Hospital
  • Colby, KS
  • NPI 1386678431
  Medicare reassignment NPD
• Eye Center of Northern Colorado, P.C

  • Optometrist
  • Boulder, CO
  • NPI 1568170520
  NPD
• Eye Center of Northern Colorado, P.C

  • Ophthalmology Physician
  • Erie, CO
  • NPI 1952002248
  NPD
• Citizens Medical Center Inc

  • Community/Retail Pharmacy
  • Colby, KS
  • NPI 1447962493
  NPD
• Boulder Eye Surgeons

  • Ophthalmology Physician
  • Boulder, CO
  • NPI 1629795851
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citizens Medical Center, Inc.

  • Critical Access Hospital
  • Colby, KS
  • NPI 1386678431
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1013437029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031082",
            "telephone_number": "303-444-3000",
            "fax_number": "303-444-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031080",
            "telephone_number": "303-444-3000",
            "fax_number": "303-444-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13772 Denver West Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "804013139",
            "country_code": "US",
            "telephone_number": "303-273-8783",
            "fax_number": "303-279-9140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 30th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011025",
            "country_code": "US",
            "telephone_number": "970-376-4061",
            "fax_number": "303-554-5846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Erie Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805164072",
            "country_code": "US",
            "telephone_number": "720-526-0010",
            "fax_number": "720-526-0048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEIBERT",
        "first_name": "BRENT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2021-01255",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "DR.0070550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamilla Deeb
• Steven Thomas Degennaro, MPT
• Degrandis Physical Therapy LLC
• Chris Degrandis, PT, DPT, CFMT
• Travis Dehne, DPT
• Crista M Delagarza, MA, LMT
• Dawn Louise Delahousse, FNP-C
• Roberta Jill Deland, PT
• David George Delaney, L.P.C.
• Jennifer S Delaney, MA, NCC

• Retina Specialist (Ophthalmology) Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Retina Specialist (Ophthalmology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.

Verify at the official NPI Registry.