Individual provider Active NPI

Bradley David Kurtz, D.O.

  • Pediatrics Physician
  • Denver, CO
National Provider Identifier
1376520056
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
42432 Issued in CO
Practice address
2373 Central Park Blvd Unit 202
Denver, CO 80238-2300
Phone
(303) 699-6200
Fax
(720) 974-9811
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 42432 CO Primary

Addresses

Primary practice location

2373 Central Park Blvd Unit 202
Denver, CO 80238-2300

Mailing address

5657 S Himalaya St
Suite100
Centennial, CO 80015-5307
Phone (303) 699-6200

Other practice location 1

5657 S Himalaya St
Suite100
Centennial, CO 80015-5307
Phone (303) 699-6200

Other practice location 2

9397 Crown Crest Blvd Ste 330
Parker, CO 80138-8788
Phone (303) 699-6200

Other practice location 3

1300 S Potomac St Ste 156
Aurora, CO 80012-4526
Phone (303) 699-6200

Other identifiers 1

IdentifierTypeStateIssuer
21332843MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42432COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients
Aurora Pediatric Associates, LLP Pediatrics CurrentSince Jul 24, 2022 Accepting new patients
Aurora Pediatric Associates, LLP Pediatrics PastSince Jul 24, 2022 Accepting new patients

Locations

5657 S Himalaya St
Ste 100
Centennial, CO 80015
Phone (303) 699-6200

Interoperability endpoints

  • Direct secure messaging: bkurtz5773@direct.childrenscolorado.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376520056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST",
            "address_2": "SUITE100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155307",
            "telephone_number": "303-699-6200",
            "fax_number": "720-870-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD UNIT 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-699-6200",
            "fax_number": "720-974-9811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5657 S Himalaya St",
            "address_2": "Suite100",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800155307",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "720-460-4783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9397 Crown Crest Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388788",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "303-805-7034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S Potomac St Ste 156",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124526",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "303-338-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "42432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21332843",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.