Individual provider Active NPI

Steven Adley Brenman, D.O.

  • Dermatology Physician
  • Centennial, CO
National Provider Identifier
1245240902
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
24444 Issued in CO
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

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01244441MedicaidCO

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
I20050914000940 CO Practitioner - Dermatology 1052344660 Reassigns benefits to 1 organization

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 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
73.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1116
Removal of nail tissue1-10
Removal or shaving of skin growth16
Skin biopsy130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2444COMDChiropractor
24444COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince Jun 1, 2009 Accepting new patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince Jun 1, 2009 Accepting new patients
Front Range Dermatology Dermatology PastSince Jan 1, 1985 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.

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

Verify at the official NPI Registry.