Active NPI
Lee Andrew Breshears, DVM, PHD, DACVS
- Veterinarian
- Parker, CO
National Provider Identifier
1174967913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- VET.0008977
- Practice address
- 17701 Cottonwood Dr
Parker, CO 80134-3939 - Phone
- (720) 842-5050
- Fax
- (720) 842-5060
- NPI assigned
- Apr 23, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | VET.0008977 | CO | Primary |
Addresses
Primary practice location
17701 Cottonwood Dr
Parker, CO 80134-3939
Mailing address
17701 Cottonwood Dr
Parker, CO 80134-3939
Phone (720) 842-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VET.0008977 | Other | CO | COLORADO DIVISION OF REGULATORY AGENCIES - VETERINARY LISCENCE NUMBER |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VET.0008977 | CO | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacier Creek Veterinary Services LLC | Past | 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 and National Provider Directory roles.
-
- Special Hospital
- Parker, CO
- NPI 1871846246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1174967913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17701 COTTONWOOD DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801343939",
"telephone_number": "720-842-5050",
"fax_number": "720-842-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17701 COTTONWOOD DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801343939",
"telephone_number": "720-842-5050",
"fax_number": "720-842-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESHEARS",
"first_name": "LEE",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DVM, PHD, DACVS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-23",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "CO",
"license": "VET.0008977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DIVISION OF REGULATORY AGENCIES - VETERINARY LISCENCE NUMBER",
"identifier": "VET.0008977",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.