Bac Acute Surgical Care Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR45880 Issued in CO

Legal business name

BAC ACUTE SURGICAL CARE INC

Practice address

2478 Patterson Rd
Grand Junction, CO 81505-3605

Phone

(970) 623-4104

Fax

(970) 644-5399

NPI assigned

Jan 6, 2014

Last updated

Dec 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad Case, MDNPI 1629029160

Title

Owner

Phone

(970) 623-4104

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Brad Alan Case, MD

  • Surgery Physician
  • Grand Junction, CO
  • NPI 1629029160
  Authorized official Same address or phone

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1366864605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 RIMROCK AVE",
            "address_2": "SUITE 400-321",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815058669",
            "telephone_number": "970-623-4104",
            "fax_number": "970-644-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-623-4104",
            "fax_number": "970-644-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAC ACUTE SURGICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-623-4104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR45880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97431761",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maegan Sue Ayers, RMT
• Areesha Azam
• Christine Marie Azelby, MD
• Aztec Primary Care (Columbine Medical Partners)
• Dan M Babbel, P.T.
• Nathan Bachman, PHD, MS
• Back to Health Wellness Center, LLC
• Madison Backes
• Phillip Bagga
• Jack Ryan Bagley, M.D.

• Surgery Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.