NPIMap

Individual provider Active NPI

Thomas S Brassfield, M.D.

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1285770651
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CO22644 Issued in CO
Practice address
3220 N Academy Blvd
5
Colorado Springs, CO 80917-5115
Phone
(719) 574-3600
Fax
(719) 574-1686
NPI assigned
Jan 30, 2007
Last updated
May 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CO22644 CO Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X CO22644 CO
Adult Medicine Physician 207QA0505X CO22644 CO
Geriatric Medicine (Family Medicine) Physician 207QG0300X CO22644 CO
Obesity Medicine (Family Medicine) Physician 207QB0002X CO22644 CO

Addresses

Primary practice location

3220 N Academy Blvd
5
Colorado Springs, CO 80917-5115

Mailing address

3220 N Academy Blvd
5
Colorado Springs, CO 80917-5115
Phone (719) 574-3600

Other identifiers 2

IdentifierTypeStateIssuer
01226448MedicaidCO
CO22644OtherCOCOLORADO STATE LICENSE

Other names 1

  • Dr. Scott Brassfield Professional name

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
I20090702000440 CO Practitioner - Family Practice 1850324401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Stanford University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3220 N Academy Blvd
Suite 5
Colorado Springs, CO 80917-5115
Phone (719) 574-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CO22644COMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Brassfield MD PC Family Medicine CurrentSince Feb 13, 2009 Accepting new patients
Scott Brassfield M.D.,P.C. PastSince Mar 22, 2009 Accepting new patients

Locations

3220 N Academy Blvd
Ste 5
Colorado Springs, CO 80917
Phone (719) 574-3600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1285770651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 N ACADEMY BLVD",
            "address_2": "5",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175115",
            "telephone_number": "719-574-3600",
            "fax_number": "719-574-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 N ACADEMY BLVD",
            "address_2": "5",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175115",
            "telephone_number": "719-574-3600",
            "fax_number": "719-574-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSFIELD",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CO22644",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CO",
            "license": "CO22644",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CO",
            "license": "CO22644",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "CO22644",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CO",
            "license": "CO22644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01226448",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "CO22644",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "BRASSFIELD",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.