Individual provider Active NPI

Justin Christopher Gabor, MD

  • Family Medicine Physician
  • Brighton, CO
National Provider Identifier
1194380089
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0068821 Issued in CO
Practice address
1606 Prairie Center Pkwy Ste 240
Brighton, CO 80601-4004
Phone
(303) 659-1152
Fax
(720) 685-0027
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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.0068821 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1606 Prairie Center Pkwy Ste 240
Brighton, CO 80601-4004

Mailing address

1606 Prairie Center Pkwy Ste 240
Brighton, CO 80601-4004
Phone (303) 659-1152

Other practice location 1

527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Phone (681) 342-3600

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
I20220817000092 CO Practitioner - Family Practice 7517340037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

217 N 50TH Ave
Brighton, CO 80601-8364
Phone (303) 659-1152

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

Hospital & facility affiliations

  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0068821COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Medical Group, LLC Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Platte Valley Medical Group, LLC Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
Platte Valley Medical Group LLC Family Medicine Past Accepting new patients

Locations

217 N 50th Ave
Brighton, CO 80601

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1194380089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 PRAIRIE CENTER PKWY STE 240",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014004",
            "telephone_number": "303-659-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 PRAIRIE CENTER PKWY STE 240",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014004",
            "telephone_number": "303-659-1152",
            "fax_number": "720-685-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Medical Park Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309010",
            "country_code": "US",
            "telephone_number": "681-342-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABOR",
        "first_name": "JUSTIN",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0068821",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.