Individual provider Active NPI

Hector Juan Brignoni, MD

  • Family Medicine Physician
  • Keenesburg, CO
National Provider Identifier
1336196245
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31358 Issued in CO
Practice address
190 S Main
Keenesburg, CO 80643
Phone
(303) 732-4268
Fax
(303) 732-9288
NPI assigned
May 27, 2006
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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 31358 CO Primary

Addresses

Primary practice location

190 S Main
Keenesburg, CO 80643

Mailing address

190 S Main
Post Office Box 559
Keenesburg, CO 80643
Phone (303) 732-4268

Other practice location 1

1550 S Potomac St Ste 230
Aurora, CO 80012-5455
Phone (303) 369-1077

Other identifiers 1

IdentifierTypeStateIssuer
01313584MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110923000253 CO Practitioner - Family Practice 5395916399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keene ClinicGroup PAC ID 9638145196, 3 clinicians

Practice addresses (Care Compare)

1550 S Potomac St
Suite 230
Aurora, CO 80012-5448
Phone 3033691077301

190 S Main St
Keenesburg, CO 80643-9990
Phone (303) 732-4268

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keene Clinic Family Medicine CurrentSince Jan 2, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hector.brignoni.1@16985.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1336196245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S MAIN",
            "address_2": "POST OFFICE BOX 559",
            "city": "KEENESBURG",
            "state": "CO",
            "postal_code": "80643",
            "telephone_number": "303-732-4268",
            "fax_number": "303-732-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S MAIN",
            "city": "KEENESBURG",
            "state": "CO",
            "postal_code": "80643",
            "telephone_number": "303-732-4268",
            "fax_number": "303-732-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 S Potomac St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800125455",
            "country_code": "US",
            "telephone_number": "303-369-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGNONI",
        "first_name": "HECTOR",
        "middle_name": "JUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01313584",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keenesburg, CO

Sources for this page

Verify at the official NPI Registry.