Active NPI
Timothy Sales O'Brien, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Colorado Springs, CO
National Provider Identifier
1275591539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- CO29739
- Practice address
- 3920 N Union Blvd
Ste 330
Colorado Springs, CO 80907-4900 - Phone
- (719) 570-7272
- Fax
- (719) 570-9030
- NPI assigned
- May 3, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | CO29739 | CO | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | CO29739 | CO | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | CO29739 | CO | Primary |
Addresses
Primary practice location
3920 N Union Blvd
Ste 330
Colorado Springs, CO 80907-4900
Mailing address
3920 N Union Blvd
Ste 330
Colorado Springs, CO 80907-4900
Phone (719) 570-7272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OBJ3038 | Other | CO | ANTHEM BCBS |
| 01297399 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO29739 | CO | MD | Adult Reconstructive Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1275591539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD",
"address_2": "STE 330",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074900",
"telephone_number": "719-570-7272",
"fax_number": "719-570-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 N UNION BLVD",
"address_2": "STE 330",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074900",
"telephone_number": "719-570-7272",
"fax_number": "719-570-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "TIMOTHY",
"middle_name": "SALES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "CO29739",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CO",
"license": "CO29739",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CO",
"license": "CO29739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "OBJ3038",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01297399",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.