Active NPI
Brett Carl Anderson, MD
- Orthopaedic Surgery Physician
- Colorado Springs, CO
National Provider Identifier
1124002449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L5223
- Practice address
- 3141 Centennial Blvd
Colorado Springs, CO 80907-4094 - Phone
- (719) 227-4056
- NPI assigned
- Nov 30, 2005
- Last updated
- Feb 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 34088 | AZ | |
| Orthopaedic Surgery Physician | 207X00000X | MD13114 | RI | |
| Orthopaedic Surgery Physician | 207X00000X | L5223 | TX | Primary |
Addresses
Primary practice location
3141 Centennial Blvd
Colorado Springs, CO 80907-4094
Mailing address
3141 Centennial Blvd
Colorado Springs, CO 80907-4094
Phone (719) 227-4056
Other practice location 1
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone (719) 333-5115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124002449 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13114 | RI | MD | Orthopaedic Surgery Physician |
| L5223 | TX | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1124002449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 CENTENNIAL BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074094",
"telephone_number": "719-227-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 CENTENNIAL BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074094",
"telephone_number": "719-227-4056"
}
],
"practiceLocations": [
{
"address_1": "4102 Pinion Dr",
"address_purpose": "LOCATION",
"city": "Usaf Academy",
"state": "CO",
"postal_code": "808402502",
"country_code": "US",
"telephone_number": "719-333-5115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRETT",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "34088",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "RI",
"license": "MD13114",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "L5223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124002449",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.