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Individual provider Active NPI

Brooke Ann Caufield, MD

  • Dermatology Physician
  • Fort Collins, CO
National Provider Identifier
1063593184
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0056802 Issued in CO
Practice address
2121 E Harmony Rd
Suite 270
Fort Collins, CO 80528-3400
Phone
(970) 305-4341
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0056802 CO Primary
Dermatology Physician 207N00000X 0101242205 VA

Addresses

Primary practice location

2121 E Harmony Rd
Suite 270
Fort Collins, CO 80528-3400

Mailing address

2121 E Harmony Rd
Suite 270
Fort Collins, CO 80528-3400
Phone (970) 305-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011000510 CO Practitioner - Dermatology 9830419886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Eastern Virginia Medical School, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Colorado Dermatology Group PLLCGroup PAC ID 5294022737, 4 clinicians

Practice addresses (Care Compare)

3609 S Timberline Rd
Unit a
Fort Collins, CO 80525-3430
Phone (970) 305-4341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of tissue1-10
Removal of skin lesions1192
Removal or shaving of skin growth71
Skin biopsy288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0056802COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Dermatology Group, PLLC Dermatology CurrentSince Oct 1, 2016 Accepting new patients

Locations

3609 S Timberline Rd
#A
Fort Collins, CO 80525
Phone (888) 884-6776

2121 E Harmony Rd
Unit 270
Fort Collins, CO 80528
Phone (970) 221-1993

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1063593184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "SUITE 270",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "telephone_number": "970-305-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD",
            "address_2": "SUITE 270",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283400",
            "telephone_number": "970-305-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUFIELD",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0056802",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101242205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.