Individual provider Active NPI

Jonathan Daniel Waldmann, MD

  • Family Medicine Physician
  • Brighton, CO
National Provider Identifier
1316392152
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0064026 Issued in CO
Practice address
1860 E Egbert St
Brighton, CO 80601-2404
Phone
(303) 697-2583
NPI assigned
Apr 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 DR.0064026 CO Primary

Addresses

Primary practice location

1860 E Egbert St
Brighton, CO 80601-2404

Mailing address

590 Manning Dr
Chapel Hill, NC 27599-6119
Phone (919) 966-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190906002459 NC Practitioner - Family Practice 4385936640 Reassigns benefits to 2 organizations
I20200825001549 CO Practitioner - Family Practice 4385936640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Salud Family HealthGroup PAC ID 3173433398, 75 clinicians

Practice addresses (Care Compare)

13659 E 104TH Ave
Commerce City, CO 80022-9402
Phone (720) 506-5340

270 S 8TH Ave
Brighton, CO 80601-2132
Phone (303) 655-4200

30 S 20TH Ave
Brighton, CO 80601-3705
Phone (303) 655-1950

Hospital & facility affiliations

  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Family Health CurrentSince Sep 1, 2020 Accepting new patients
Salud Family Health CurrentSince Sep 1, 2020 Accepting new patients
Chatham Hospital, Inc. CurrentSince Jul 12, 2019 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Jun 29, 2019 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Jun 29, 2019 Accepting new patients
Salud Family Health Current Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients

Locations

1860 E Egbert St
Brighton, CO 80601
Phone (303) 659-4000

6255 Quebec Pkwy
Commerce City, CO 80022
Phone (303) 286-8900

203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560

5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

590 Manning Dr
Chapel Hill, NC 27599
Phone (919) 966-0210

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Interoperability endpoints

  • Direct secure messaging: jonathan.waldmann@sfhc.eclinicaldirectplus.com

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 1

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1316392152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996119",
            "telephone_number": "919-966-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 E EGBERT ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012404",
            "telephone_number": "303-697-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMANN",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0064026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.