Active NPI
Carla T Bregni-Page, DO
- Family Medicine Physician
- Castle Rock, CO
National Provider Identifier
1336139534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0056781
- Practice address
- 2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109-8405 - Phone
- (303) 218-7774
- Fax
- (303) 660-5065
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101012799 | MI | |
| Family Medicine Physician | 207Q00000X | DR.0056781 | CO | Primary |
Addresses
Primary practice location
2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109-8405
Mailing address
2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109-8405
Phone (303) 218-7774
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C5963 | Other | MI | MCARE |
| 080D410020 | Other | MI | BLUE CROSS BLUE SHIELD |
| 080D410020 | Other | MI | BLUE CARE NETWORK |
| 0852501625 | Other | MI | BLUE CROSS BLUE SHIELD |
| 080D410020 | Other | MI | BLUE CROSS COMMUNITY BLUE |
| G74585 | Other | MI | HEALTH ALLIANCE PLAN |
| G74585 | Other | MI | HEALTH NET SERVICES |
| 204388 | Other | MI | HEALTH ADVANTAGE NETWORK |
| 3486424001 | Other | MI | CIGNA |
| DR.0056781 | Other | CO | COLORADO STATE LICENSE |
| 080126360 | Other | MI | METRAHEALTH |
| 204388 | Other | MI | MCLAREN HEALTH PLAN |
| 080D4100220 | Other | MI | BLUE CROSS POS |
| 5274804 | Other | MI | AETNA |
| 0983187 | Other | MI | HEATLTH PLUS |
| 3464872 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101012799 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109
Phone (303) 218-7774
831 S Perry St
Ste 200
Castle Rock, CO 80104
Phone (303) 218-7774
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
Organizations & group practices 3
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.
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- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1336139534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2356 MEADOWS BLVD",
"address_2": "STE 140B",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801098405",
"telephone_number": "303-218-7774",
"fax_number": "303-660-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2356 MEADOWS BLVD",
"address_2": "STE 140B",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801098405",
"telephone_number": "303-218-7774",
"fax_number": "303-660-5065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREGNI-PAGE",
"first_name": "CARLA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101012799",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0056781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C5963",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "080D410020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "080D410020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0852501625",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS COMMUNITY BLUE",
"identifier": "080D410020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "G74585",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET SERVICES",
"identifier": "G74585",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE NETWORK",
"identifier": "204388",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3486424001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO STATE LICENSE",
"identifier": "DR.0056781",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH",
"identifier": "080126360",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "204388",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS POS",
"identifier": "080D4100220",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5274804",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATLTH PLUS",
"identifier": "0983187",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3464872",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.