NPIMap

Individual provider Active NPI

Brad Robin Baack, M.D.

  • Dermatology Physician
  • Montrose, CO
National Provider Identifier
1104856061
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0039315 Issued in CO
Practice address
3480 Wolverine Dr Ste F
Montrose, CO 81401-4965
Phone
(970) 252-7444
Fax
(970) 252-3446
NPI assigned
Jul 4, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0039315 CO Primary
MOHS-Micrographic Surgery Physician 207ND0101X DR.0039315 CO
Dermatopathology Physician 207ND0900X 39315 CO
Procedural Dermatology Physician 207NS0135X 39315 CO

Addresses

Primary practice location

3480 Wolverine Dr Ste F
Montrose, CO 81401-4965

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291

Other practice location 1

4795 Larimer Pkwy Ste 150
Johnstown, CO 80534-9588
Phone (970) 342-2222

Other practice location 2

515 E 1st St
Salida, CO 81201-2805
Phone (719) 539-5338

Other practice location 3

234 N Main St Ste 2B
Gunnison, CO 81230-2434
Phone (970) 641-1456

Other practice location 4

1350 Tulip St Ste 2
Longmont, CO 80501-3140
Phone (970) 342-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY, NE3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091228000454 CO Practitioner - Dermatology 6204729734 Reassigns benefits to 3 organizations
I20200910002590 WY Practitioner - Dermatology 6204729734 Reassigns benefits to 1 organization
I20241204001871 NE Practitioner - Dermatology 6204729734 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of New Mexico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altitude Dermatology PCGroup PAC ID 8527505601, 8 clinicians
Integrated Dermatology of Montrose, LLCGroup PAC ID 7012137995, 4 clinicians

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (970) 342-2222

3480 Wolverine Dr
Suite F
Montrose, CO 81401-4965
Phone (970) 252-7444

4795 Larimer Pkwy
Johnstown, CO 80534-9021
Phone (970) 342-2222

4795 Larimer Pkwy
Suite 150
Johnstown, CO 80534-9588

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision280
Removal of tissue24
Removal of skin lesions162
Removal of skin cancer183
Skin biopsy43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0039315COMDDermatology Physician
39315COMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 27, 2021 Accepting new patients
Advanced Dermatology of Wyoming, Inc Dermatology CurrentSince Oct 1, 2020 Accepting new patients
Cheyenne County Hospital Association Inc CurrentSince Jan 1, 2025 Accepting new patients
Cheyenne County Hospital Association CurrentSince Jan 1, 2025 Accepting new patients
Altitude Dermatology PC Dermatology CurrentSince Jul 24, 2024 Accepting new patients
On Site Dermatology of Colorado PLLC Dermatology PastSince Jun 4, 2018 Accepting new patients
Cheyenne County Hospital Association Inc Past Accepting new patients
Bill H. Halmi MD, PC PastSince Oct 1, 2020 Accepting new patients
Northern Arizona Dermatology Center PC Dermatology PastSince Aug 1, 1996 Accepting new patients
Salida Dermatology LLC Dermatology PastSince Feb 12, 2024 Accepting new patients

Locations

11083 Colorado Blvd
Firestone, CO 80504
Phone (303) 833-8880

2032 Lowe St
Fort Collins, CO 80525
Phone (970) 223-6339

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

4795 Larimer Pkwy
#150
Johnstown, CO 80534
Phone (970) 342-2222

4795 Larimer Pkwy
Ste 150
Johnstown, CO 80534
Phone (970) 342-2222

1350 Tulip St
Ste 2
Longmont, CO 80501
Phone (970) 342-2222

1850 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1500

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Organizations & group practices 12

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1104856061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WOLVERINE DR STE F",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014965",
            "telephone_number": "970-252-7444",
            "fax_number": "970-252-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4795 Larimer Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805349588",
            "country_code": "US",
            "telephone_number": "970-342-2222",
            "fax_number": "970-342-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Salida",
            "state": "CO",
            "postal_code": "812012805",
            "country_code": "US",
            "telephone_number": "719-539-5338",
            "fax_number": "719-539-5339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 N Main St Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "CO",
            "postal_code": "812302434",
            "country_code": "US",
            "telephone_number": "970-641-1456",
            "fax_number": "603-888-7984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Tulip St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013140",
            "country_code": "US",
            "telephone_number": "970-342-2222",
            "fax_number": "970-342-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAACK",
        "first_name": "BRAD",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0039315",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR.0039315",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "39315",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "39315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.