Individual provider Active NPI

Bradley Richard Hakim, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lone Tree, CO
National Provider Identifier
1205229945
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
DR.0065363 Issued in CO
Practice address
8500 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2744
Phone
(586) 322-4824
NPI assigned
Mar 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X DR.0065363 CO Primary

Addresses

Primary practice location

8500 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2744

Mailing address

8500 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2744
Phone (586) 322-4824

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
I20201124001400 CO Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9931510963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Rocky Vista University College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spineone, PLLCGroup PAC ID 6406877521, 10 clinicians

Practice addresses (Care Compare)

8500 Park Meadows Dr
Suite 200
Lone Tree, CO 80124-2744
Phone (303) 367-2225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spineone, PLLC CurrentSince Nov 16, 2020 Accepting new patients

Locations

8500 Park Meadows Dr
Ste 200
Lone Tree, CO 80124
Phone (303) 367-2225

8500 Park Meadows Dr
Lone Tree, CO 80124
Phone (303) 367-2225

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.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1205229945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DR STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242744",
            "telephone_number": "586-322-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DR STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242744",
            "telephone_number": "586-322-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "BRADLEY",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "DR.0065363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.