Brain Development Centers of Colorado

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BRAIN DEVELOPMENT CENTERS OF COLORADO

Practice address

4740 Flintridge Dr
Suite 101
Colorado Springs, CO 80918-4253

Phone

(719) 375-1788

Fax

(719) 358-7756

NPI assigned

Oct 24, 2012

Last updated

Oct 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Randee Phyllis Van Ness, BCBA

Title

President

Phone

(719) 375-1788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1235482415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 FLINTRIDGE DR",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184253",
            "telephone_number": "719-375-1788",
            "fax_number": "719-358-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 FLINTRIDGE DR",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184253",
            "telephone_number": "719-375-1788",
            "fax_number": "719-358-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN DEVELOPMENT CENTERS OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "VAN NESS",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_middle_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-375-1788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kama Nicole Bragg, PT, DPT
• Kandis R Bragg
• Tina Bragg, D.C.
• Nupur Brahmbhatt, M.D.
• Brain and Body Insights
• Brain Waves LLC (Brain Waves)
• Tanner Brainard
• Braincare LLC (Westmark House)
• Braincare LLC (Briargate House)
• Braincare LLC

• Internal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.