Individual provider Active NPI

William C McNitt, MD

  • Emergency Medicine Physician
  • Brighton, CO
National Provider Identifier
1114345576
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0057351 Issued in CO
Practice address
1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Phone
(303) 498-1910
NPI assigned
Apr 2, 2014
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 MD2016-0443 NM
Student in an Organized Health Care Education/Training Program 390200000X RS2014-0408 NM
Emergency Medicine Physician 207P00000X DR.0057351 CO Primary

Addresses

Primary practice location

1600 Prairie Center Pkwy
Brighton, CO 80601-4006

Mailing address

5537 Lewis CT Unit 202
Arvada, CO 80002-4960
Phone (303) 989-4018

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
I20170724003657 CO Practitioner - Emergency Medicine 3476772997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighton Community Emergency Physicians, LpaGroup PAC ID 0244405488, 13 clinicians

Practice addresses (Care Compare)

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 498-1999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0057351COMDEmergency Medicine Physician
MD2016-0443NMMDEmergency Medicine Physician
RS2014-0408NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Community Emergency Physicians Lpa Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1114345576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 LEWIS CT UNIT 202",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800024960",
            "telephone_number": "303-989-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PRAIRIE CENTER PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014006",
            "telephone_number": "303-498-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNITT",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2016-0443",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2014-0408",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0057351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.