Bryan Kent Reichert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

46447 Issued in CO

Practice address

1600 Fish Hatchery Rd
Estes Park, CO 80517-9227

Phone

(970) 586-4491

Fax

(970) 577-0392

NPI assigned

Jun 20, 2009

Last updated

May 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bender Medical Group Inc

  dba Miramont Family Medicine

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1215027107
  Medicare reassignment NPD
• Family Physical Therapy Center, P.C.

  • Specialist
  • Fort Collins, CO
  • NPI 1407834377
  NPD (past)

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1316174022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FISH HATCHERY RD",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805179227",
            "telephone_number": "970-586-4491",
            "fax_number": "970-577-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 FISH HATCHERY RD",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805179227",
            "telephone_number": "970-586-4491",
            "fax_number": "970-577-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHERT",
        "first_name": "BRYAN",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10328779",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Michael Prochoda, M.D.
• Lauren Pucci, LPC.0022596
• PVHS/Timberline, LLC (Timberline Medical, LLC)
• Daniel M Rauk, DDS
• Christopher Garland Reveley, M.D.
• Paxon Riding, D.P.M.
• RMC Medical LLC
• Kristen Nichole Robbins, DDS
• Melissa Roberts, L. AC.

• Family Medicine Physician in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.

Verify at the official NPI Registry.