Active NPI
David Granado, MS,CHA,PA
- Physician Assistant
- Brighton, CO
National Provider Identifier
1295880789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 561
- Practice address
- 1933 E Bridge St
Brighton, CO 80601-1937 - Phone
- (303) 659-4450
- Fax
- (303) 659-4453
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 561 | CO | Primary |
Addresses
Primary practice location
1933 E Bridge St
Brighton, CO 80601-1937
Mailing address
481 Yates St
Denver, CO 80204-4647
Phone (303) 936-1779
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)
- Not enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 561 | CO | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295880789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 YATES ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044647",
"telephone_number": "303-936-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 E BRIDGE ST",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806011937",
"telephone_number": "303-659-4450",
"fax_number": "303-659-4453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADO",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MS,CHA,PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "561",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.