Active NPI
Steven Adley Brenman, D.O.
- Dermatology Physician
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 24444
- Practice address
- 12645 E Euclid Dr
Centennial, CO 80111-6437 - Phone
- (303) 493-1910
- Fax
- (303) 493-1915
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 24444 | CO | Primary |
Addresses
Primary practice location
12645 E Euclid Dr
Centennial, CO 80111-6437
Mailing address
12645 E Euclid Dr
Centennial, CO 80111-6437
Phone (303) 493-1910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01244441 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12645 E Euclid Dr
Centennial, CO 80111-6437
Phone (303) 493-1910
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 100
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 73.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1116 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2444 | CO | MD | Chiropractor |
| 24444 | CO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. | Dermatology | Current | Accepting new patients |
| Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. | Dermatology | Current | Accepting new patients |
| Front Range Dermatology | Dermatology | Past | Accepting new patients |
Locations
755 Maleta Ln
Ste 201
Castle Rock, CO 80108
Phone (303) 309-3072
1390 S Potomac St
Ste 124
Denver, CO 80012
Phone (303) 368-8611
3464 S Willow St
Ste 194
Denver, CO 80231
12645 E Euclid Dr
Englewood, CO 80111
Phone (303) 368-8611
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.
-
- Dermatology Physician
- Aurora, CO
- NPI 1134170012
-
- Dermatology Physician
- Denver, CO
- NPI 1982614640
-
- Dermatology Physician
- Castle Rock, CO
- NPI 1811590433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1245240902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12645 E EUCLID DR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801116437",
"telephone_number": "303-493-1910",
"fax_number": "303-493-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12645 E EUCLID DR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801116437",
"telephone_number": "303-493-1910",
"fax_number": "303-493-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENMAN",
"first_name": "STEVEN",
"middle_name": "ADLEY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "24444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01244441",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.