Individual provider Active NPI

Gretchen Brunworth, MD

  • Physical Medicine & Rehabilitation Physician
  • Aurora, CO
National Provider Identifier
1033174446
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
32695 Issued in CO
Practice address
830 Potomac Cir
Suite 209
Aurora, CO 80011-6750
Phone
(303) 341-4785
Fax
(303) 341-1479
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 32695 CO Primary

Addresses

Primary practice location

830 Potomac Cir
Suite 209
Aurora, CO 80011-6750

Mailing address

1390 S Potomac St
Ste 128
Aurora, CO 80012-4529
Phone (303) 341-4785

Other identifiers 1

IdentifierTypeStateIssuer
01326958MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110426000132 CO Practitioner - Physical Medicine and Rehabilitation 4880879485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32695COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Rehabilitation and Occupational Medicine, PLLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 1993 Accepting new patients

Locations

1390 S Potomac St
Ste 100
Aurora, CO 80012
Phone (303) 280-3893

1390 S Potomac St
Ste 128
Aurora, CO 80012
Phone (303) 306-2487

8200 E Belleview Ave
Ste 330C
Greenwood Village, CO 80111
Phone (303) 221-5700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1033174446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST",
            "address_2": "STE 128",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-341-4785",
            "fax_number": "303-341-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 POTOMAC CIR",
            "address_2": "SUITE 209",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116750",
            "telephone_number": "303-341-4785",
            "fax_number": "303-341-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNWORTH",
        "first_name": "GRETCHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "32695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01326958",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.