Briar Rose Medical Group,LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0054605 Issued in CO

Legal business name

BRIAR ROSE MEDICAL GROUP,LLC

Practice address

3350 Peoria St
Ste 120
Aurora, CO 80010-1483

Phone

(844) 355-7673

Fax

(720) 729-8100

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Carson Ponder, MD

Title

Co-Owner

Phone

(844) 355-7673

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Heim, LSW

  • Social Worker
  • Aurora, CO
  • NPI 1205349693
  NPD (past)

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1194266809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 PEORIA ST",
            "address_2": "STE 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101483",
            "telephone_number": "844-355-7673",
            "fax_number": "720-729-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 PEORIA ST",
            "address_2": "STE 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101483",
            "telephone_number": "844-355-7673",
            "fax_number": "720-729-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAR ROSE MEDICAL GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CARSON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "844-355-7673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "0054605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33439257",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24523348",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Brewer, DDS
• Tara Brewer, FNP
• Jelena Brezo
• Brian Koper,DO,LLC
• Spencer Dell Brian, A.A.
• Glen Brice, HAIR LOSS SPECIALIST
• Aaron Brick, CRNP
• Robin Bricker-Ford, PHARMD, BCIDP, BCPS
• Rory Scott Bricker, MD
• Shana Leanne Bricker, PT

• Medical Specialty Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.