Brush Family Medicine

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BRUSH FAMILY MEDICINE

Practice address

2400 Edison St
Brush, CO 80723-1640

Phone

(970) 842-6262

Fax

(970) 842-6241

NPI assigned

Jun 30, 2006

Last updated

Dec 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Dennis Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Big Horn Family Med

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  dba Banner Hospice of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
  • NPI 1407409964

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Lance Sheldon, MD

  • Family Medicine Physician
  • Denver, CO
  • NPI 1982666806
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1326076985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EDISON ST",
            "city": "BRUSH",
            "state": "CO",
            "postal_code": "807231640",
            "telephone_number": "970-842-6262",
            "fax_number": "970-842-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05638473",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick David Brunner
• Brush Dental Hygiene
• Brush Dental Inc
• Brush Family Dentistry PC
• Brush Family Dentistry, PLLC
• Damiesha Bryant
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado (Centura Brush Medical Group)
• Colorado Dentistry for Children LLC
• Condar,Inc

• Rural Health Clinic/Center in Brush, CO
• Providers in Brush, CO by specialty
• Rural Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.