NPIMap

Individual provider Active NPI

Brian Leonard, DO

  • Family Medicine Physician
  • Greeley, CO
National Provider Identifier
1265683098
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50456 Issued in CO
Practice address
1600 23Rd Ave
Greeley, CO 80634-6070
Phone
(970) 356-2424
Fax
(970) 346-2771
NPI assigned
Oct 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50456 CO Primary

Addresses

Primary practice location

1600 23Rd Ave
Greeley, CO 80634-6070

Mailing address

1600 23Rd Ave
Greeley, CO 80634-6070
Phone (970) 356-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000621 CO Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 2163696956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

1181 E 120TH Ave Unit a
Thornton Clinic
Thornton, CO 80233-5729
Phone (303) 673-1500

Hospital & facility affiliations

  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50456COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 30, 2015 Accepting new patients
Platte Valley Medical Group, LLC Family Medicine CurrentSince May 4, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 30, 2015 Accepting new patients
Platte Valley Medical Group, LLC Family Medicine CurrentSince May 4, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine PastSince Aug 2, 2020 Accepting new patients

Locations

2055 W 136th Ave
#B118
Broomfield, CO 80023

2055 W 136th Ave
Broomfield, CO 80023

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

2055 W 136th Ave
Ste B118
Broomfield, CO 80023
Phone (303) 673-1570

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1450 Dexter St
Ste 101
Fort Lupton, CO 80621
Phone (303) 857-2087

1181 E 120th Ave
Unit A
Thornton, CO 80233
Phone (303) 673-1500

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1265683098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 23RD AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346070",
            "telephone_number": "970-356-2424",
            "fax_number": "970-346-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346070",
            "telephone_number": "970-356-2424",
            "fax_number": "970-346-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "BRIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-10",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.