Patrick A Brighton, MD
Individual provider Active NPI Surgery Physician · Delta, CO
NPI 1124050885 · NPPES record last updated Mar 13, 2008
Key facts
- NPI
- 1124050885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 42964 (CO)
- Practice address
- 95 Stafford LN
Delta, CO 81416-3465 - Phone
- (970) 874-8026
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041204000137 | CO | Practitioner - General Surgery | 7315922531 | Reassigns benefits to 1 organization |
| I20050420000395 | AZ | Practitioner - General Surgery | 7315922531 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42964 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Memorial Hospital, Inc | Current |
Accepting new patients | |
| Montrose Memorial Hospital,Inc | Current |
Accepting new patients | |
| Summit Healthcare Medical Associates | Current |
Accepting new patients | |
| Montrose Memorial Hospital, Inc | Current | Accepting new patients | |
| Summit Healthcare Medical Associates | Family Medicine | Current | Accepting new patients |
| Summit Healthcare Association | Past | Accepting new patients | |
| The Surgical Clinic PLLC | Surgery | Past |
Accepting new patients |
| Mountain View Cardiology PC | Past | Accepting new patients | |
| Summit Surgical Consultants PC | Surgery | Past | Accepting new patients |
Locations
5448 Highway 260
Ste 200
Lakeside, AZ 85929
4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314
800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIJFBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 42964 | CO | Yes |
Addresses
Primary practice location
95 Stafford LN
Delta, CO 81416-3465
Mailing address
PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05234352 | Medicaid | CO | |
| BRP67410 | Other | CO | BCBS |
| 840428757022 | Other | CT | ROCKY MOUNTAIN HEALTH PLA |
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.