Individual provider Active NPI

Isaac Joseph Bennett, DO

  • Emergency Medicine Physician
  • Aurora, CO
National Provider Identifier
1124559695
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0067928 Issued in CO
Practice address
15300 E Mississippi Ave
Aurora, CO 80017-3026
Phone
(720) 848-0000
NPI assigned
Mar 25, 2017
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0067928 CO
Emergency Medicine Physician 207P00000X DR.0067928 CO Primary

Addresses

Primary practice location

15300 E Mississippi Ave
Aurora, CO 80017-3026

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

501 W 14th St
Wilmington, DE 19801-1013
Phone (302) 477-3324

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
I20221201001154 CO Practitioner - Emergency Medicine 3274802558 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067928COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Emergency Medicine, PLLC Emergency Medicine CurrentSince Aug 19, 2022 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
University Physicians, Incorporated CurrentSince Nov 1, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Dec 23, 2023 Accepting new patients
University Physicians Incorporated Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
University Physicians, Incorporated Past Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

15300 E Mississippi Ave
Aurora, CO 80017
Phone (303) 671-4140

22500 E Dry Creek Rd
Aurora, CO 80016
Phone (720) 376-6400

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

15100 E 104th Ave
Commerce City, CO 80022
Phone (303) 286-6920

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

18610 Grn Vly Ranch Blvd
Denver, CO 80249
Phone (303) 307-5900

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

Dept 1061
Denver, CO 80256

14200 E Arapahoe Rd
Englewood, CO 80112
Phone (303) 699-3000

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

5600 S Quebec St
Ste 312A
Greenwood Village, CO 80111
Phone (303) 343-6272

260 S Wadsworth Blvd
Lakewood, CO 80226
Phone (720) 417-7200

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

6196 S Ammons Way
Littleton, CO 80123
Phone (303) 788-6223

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

12223 Pine Bluffs Way
Parker, CO 80134
Phone (720) 225-1000

12020 Colorado Blvd
Thornton, CO 80241
Phone (303) 255-6940

12793 Holly St
Thornton, CO 80241
Phone (303) 280-6400

9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003

Organizations & group practices 6

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 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1124559695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800173026",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-477-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ISAAC",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0067928",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0067928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.