Active NPI
Caleb Hernandez, D.O.
- Emergency Medicine Physician
- Brighton, CO
National Provider Identifier
1265636385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 45628
- Practice address
- 1600 Prairie Center Pkwy
Brighton, CO 80601-4006 - Phone
- (303) 498-1999
- Fax
- (303) 498-1915
- NPI assigned
- Jun 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2012008174 | MO | |
| Emergency Medicine Physician | 207P00000X | 45628 | CO | Primary |
Addresses
Primary practice location
1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Mailing address
1241 W Mineral Ave
Suite 100
Littleton, CO 80120-5685
Phone (303) 759-0854
Other practice location 1
525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 875-2627
Other practice location 2
1000 E Hwy 60
Monett, MO 65708-8258
Phone (417) 354-1269
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24770850 | Medicaid | CO | |
| P00477591 | Other | CO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120605000759 | MO | Practitioner - Emergency Medicine | 8921191552 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45628 | CO | MD | Emergency Medicine Physician |
| 2012008174 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients | |
| Platte Valley Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Brighton Community Emergency Physicians Lpa | Emergency Medicine | Past | Accepting new patients |
| East Morgan County Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Brighton, CO
- NPI 1639454242
-
- Critical Access Hospital
- Brush, CO
- NPI 1699708743
-
- Emergency Medicine Physician
- Brighton, CO
- NPI 1508836198
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1265636385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 W MINERAL AVE",
"address_2": "SUITE 100",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801205685",
"telephone_number": "303-759-0854",
"fax_number": "303-759-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 PRAIRIE CENTER PKWY",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806014006",
"telephone_number": "303-498-1999",
"fax_number": "303-498-1915"
}
],
"practiceLocations": [
{
"address_1": "525 Branson Landing Blvd",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656162052",
"country_code": "US",
"telephone_number": "417-875-2627",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Hwy 60",
"address_purpose": "LOCATION",
"city": "Monett",
"state": "MO",
"postal_code": "657088258",
"country_code": "US",
"telephone_number": "417-354-1269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CALEB",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2012008174",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "45628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24770850",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00477591",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.