Individual provider Active NPI

Brad Debeer, DC

  • Neurology Chiropractor
  • Denver, CO
National Provider Identifier
1407426679
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CHR.0008363 Issued in CO
Practice address
1720 S Bellaire St Ste 801
Denver, CO 80222-4331
Phone
(720) 994-2966
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CHR.0008363 CO Primary

Addresses

Primary practice location

1720 S Bellaire St Ste 801
Denver, CO 80222-4331

Mailing address

1720 S Bellaire St Ste 801
Denver, CO 80222-4331
Phone (720) 994-2966

Other identifiers 2

IdentifierTypeStateIssuer
EL.2787245OtherCOCOLORADO DEPT. OF REGULATORY AGENCIES
CHR.0008363OtherCOCOLORADO DEPT. OF REGULATORY AGENCIES

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008363COMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Axon Integrative Health LLC Neurology CurrentSince Mar 26, 2023 Accepting new patients
Revive Treatment Centers of America Neurology PastSince Jul 1, 2021 Accepting new patients

Locations

1720 S Bellaire St
Ste 801
Denver, CO 80222
Phone (720) 994-2966

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1407426679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 801",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224331",
            "telephone_number": "720-994-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 801",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224331",
            "telephone_number": "720-994-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBEER",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CO",
            "license": "CHR.0008363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPT. OF REGULATORY AGENCIES",
            "identifier": "EL.2787245",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPT. OF REGULATORY AGENCIES",
            "identifier": "CHR.0008363",
            "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 Mar 17, 2023; 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.