Red Mountain Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RED MOUNTAIN INTERNAL MEDICINE

Practice address

1501 E 3Rd St
Delta, CO 81416-2815

Phone

(719) 219-2400

Fax

(719) 219-2409

NPI assigned

Mar 6, 2021

Organization subpart

No

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

Authorized official

Name

Timothy Michael Bresnahan, MDNPI 1205860202

Title

Authorized Official

Phone

(720) 261-5141

Specialties & licenses 1

Addresses

Tax ID family

Red Mountain Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Red Mountain Internal Medicine

  • Internal Medicine Physician
  • Canon City, CO
  • NPI 1497340939
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Michael Bresnahan, MD

  • Internal Medicine Physician
  • Sterling, CO
  • NPI 1205860202
  NPD (past) Authorized official
• Cassandra Maria Bresnahan, MD

  • Internal Medicine Physician
  • Sterling, CO
  • NPI 1922031921
  NPD (past)

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1043805583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808290804",
            "telephone_number": "720-261-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 3RD ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162815",
            "telephone_number": "719-219-2400",
            "fax_number": "719-219-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "BRESNAHAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "720-261-5141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel N Depuy, MD, PC
• Marvin Guy Raether
• Rosalind R Rafanelli, M.D.
• Cynthia Rapp, EDS
• Leah Rae Rawson
• Elizabeth Anne Reed, R.D.H.
• Matthew Remakus, M.D.
• Jean Reynoso, PT
• Corey Rice
• Kyle Rice

• Internal Medicine Physician in Delta, CO
• Providers in Delta, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.