Individual provider Active NPI

Teresa Kay Braden, D.O.

  • Emergency Medicine Physician
  • Elkhart, KS
National Provider Identifier
1073522595
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05-50186 Issued in KS
Practice address
445 Hilltop Street
Elkhart, KS 67950
Phone
(620) 697-2141
Fax
(620) 741-8203
NPI assigned
Aug 5, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05-50186 KS Primary
Emergency Medicine Physician 207P00000X 47646 CO
Internal Medicine Physician 207R00000X 47646 CO

Addresses

Primary practice location

445 Hilltop Street
Elkhart, KS 67950

Mailing address

2695 Rocky Mountain Ave
Loveland, CO 80538-8702
Phone (970) 624-2403

Other practice location 1

311 W 14th St
Pueblo, CO 81003-2705
Phone (719) 595-7585

Other identifiers 2

IdentifierTypeStateIssuer
P01158993OtherCORAILROAD MEDICARE
50627864MedicaidCO

Other names 1

  • Teresa Kay O'Dowd/Wimmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090804000734 CO Practitioner - Internal MedicinePractitioner - Emergency Medicine 1658350293 Reassigns benefits to 4 organizations
I20250124000921 KS Practitioner - Emergency Medicine 1658350293 Reassigns benefits to 2 organizations
I20250821001605 NM Practitioner - Internal MedicinePractitioner - Emergency Medicine 1658350293 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fedko Emergency Physicians New Mexico, LLCGroup PAC ID 4880934389, 53 clinicians
Morton County HospitalGroup PAC ID 5395644637, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

1016 E Rooselvelt Ave
Grants, NM 87020-2118
Phone (505) 287-4446

445 Hilltop Ave
Elkhart, KS 67950-5315
Phone (620) 697-2141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47646COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fep West LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Pueblo Pathology Group, PC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Morton County Hospital CurrentSince Jan 9, 2025 Accepting new patients
Morton County Hospital Emergency Medicine Current Accepting new patients
Morton County Hospital Internal Medicine CurrentSince Jan 9, 2025 Accepting new patients
Fedko Emergency Physicians New Mexico LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Morton County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Cibola General Hospital Corporation Internal Medicine Current Accepting new patients
Prowers County Hospital District CurrentSince Aug 4, 2025 Accepting new patients
McLaren Oakland Past Accepting new patients
Morton County Hospital Past Accepting new patients
Prowers County Hospital District Emergency Medicine Past Accepting new patients
Trinidad Area Health Association Internal Medicine Past Accepting new patients
Hospital Health Care Inc. Internal Medicine Past Accepting new patients
Morton County Hospital Internal Medicine Past Accepting new patients

Locations

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

311 W 14th St
Pueblo, CO 81003
Phone (719) 595-7585

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

411 Sunset St
Elkhart, KS 67950
Phone (620) 697-2141

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1073522595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388702",
            "telephone_number": "970-624-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HILLTOP STREET",
            "city": "ELKHART",
            "state": "KS",
            "postal_code": "67950",
            "telephone_number": "620-697-2141",
            "fax_number": "620-741-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032705",
            "country_code": "US",
            "telephone_number": "719-595-7585",
            "fax_number": "719-595-7589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-50186",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "47646",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "47646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01158993",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50627864",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "O'DOWD/WIMMER",
            "middle_name": "KAY",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhart, KS

Sources for this page

Verify at the official NPI Registry.