Brenda C Eiser, MD
Individual provider Active NPI Internal Medicine Physician · Lonetree, CO
NPI 1215164181 · NPPES record last updated May 7, 2021
Key facts
- NPI
- 1215164181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 51326 (CO)
- Practice address
- 10101 Ridgegate Pkwy
Lonetree, CO 80124-5522 - Phone
- (303) 338-4545
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120918000493 | CO | Practitioner - Internal Medicine | 6800044751 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51326 | CO | MD | Internal Medicine Physician |
| TL3358 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Permanente Medical Group, P.C. | Internal Medicine | Current |
Accepting new patients |
Locations
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 51326 | CO | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | TL3358 | CO |
Addresses
Primary practice location
10101 Ridgegate Pkwy
Lonetree, CO 80124-5522
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-3800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022557 | Other | CO | KAISER COMMERCIAL NUMBER |
| 33023824 | Medicaid | CO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Lonetree, CO
- Silvia G Connell
- Decatur Vein Clinic Colorado, PC
- Denver Spine Center
- Jennifer T Desbois
- Amy M Diruzzo
- Rachael Falkowitz
- Kelly Renee Freeman
- Jennifer Freezer
- Wayne Charles Furr
- Alan Keith Garner
All providers in Lonetree, CO · Internal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.