Organization Active NPI

Brad a. Case, MD, PA

  • Surgery Physician
  • Grand Junction, CO
National Provider Identifier
1366805301
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BRAD A. CASE, MD, PA
Practice address
2478 Patterson Rd
Suite 4
Grand Junction, CO 81505-3605
Phone
(970) 773-1946
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Mrs. Lisa A Case
Title
Administrator
Phone
(970) 773-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X CO Primary

Addresses

Primary practice location

2478 Patterson Rd
Suite 4
Grand Junction, CO 81505-3605

Mailing address

2478 Patterson Rd
Suite 4
Grand Junction, CO 81505-3605
Phone (970) 773-1946

Other identifiers 1

IdentifierTypeStateIssuer
97431761MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728000579 CO Part B Supplier - Clinic/Group Practice 2860785821 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

2478 Patterson Rd
Ste 4
Grand Junction, CO 81505
Phone (970) 773-1946

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9956/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1366805301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "SUITE 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-773-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "SUITE 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-773-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD A. CASE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-773-1946",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97431761",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.